This document is a claim report for property insurance, detailing various types of losses such as fire, theft, and water damage. It includes sections for the date and time of loss, estimated amount, damaged property, and any third-party negligence. Additionally, it prompts for information regarding police reports and other insurance coverage related to the claim.
This document is a claim report for property insurance, detailing various types of losses such as fire, theft, and water damage. It includes sections for the date and time of loss, estimated amount, damaged property, and any third-party negligence. Additionally, it prompts for information regarding police reports and other insurance coverage related to the claim.
This document is a claim report for property insurance, detailing various types of losses such as fire, theft, and water damage. It includes sections for the date and time of loss, estimated amount, damaged property, and any third-party negligence. Additionally, it prompts for information regarding police reports and other insurance coverage related to the claim.
This document is a claim report for property insurance, detailing various types of losses such as fire, theft, and water damage. It includes sections for the date and time of loss, estimated amount, damaged property, and any third-party negligence. Additionally, it prompts for information regarding police reports and other insurance coverage related to the claim.
Claims Center – Neuschaden – Luxemburger Allee 4 45481 Mülheim an der Ruhr E-Mail: schadenservice@aon.de
Property Insurance Policy Number/Ref.Number:
Claim File.: Your Reference:
CLAIM REPORT PROPERTY INSURANCE
Fire, lightning, explosion Storm/hail Burglary/theft Breakage of glass Water pipe damage Business interruption (BI) by property damage
Date and time of loss:
Loss location (area/dept.) Cause/circumstances of the loss (use extra sheet, if necessary): Estimated amount of loss:
Lost/damaged property: (use extra sheet, if necessary)
Number and nature of damaged goods In case of loss or material In case of reparable goods: damage: replacement cost estimated repair costs
In case of loss by third party negligence: Who caused the damage?
Entitled to deduction of input tax? VAT Information/VAT document Yes No
Was the damage reported to the police? Yes No
Police station/date of report/file reference: Is the damage covered by another insurance policy as well? Yes No If so, state insurer and insurance policy no. Is a BI-loss expected? Yes No if so, please advise by phone
