Figures should include gross salaries and fringe benefits such as health insurance. Please read the following pages before completing the accompanying Insurance Proposal form.Please fill out our quick, secure, online form to receive a high value home insurance quote and a PURE Advisor will reach out to chat within 24 hours. How to Complete the Proposal Form. Please fill in all the relevant boxes on the Proposal Form. Use the form below to request a business insurance or finance and insurance proposal for your dealership. IMPORTANT. This form must be completed fully and correctly to the best of your knowledge and belief. All facts which are likely to influence. Do the Insured Funds have any assets or investments in the USA or Canada? If "Yes", please provide details. Yes.