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    Claim Form Cargo Insurance

    Uploaded by

    jatin tyagi
    The cargo insurance claim form requests information about damaged goods being kept for survey, the receiver containing damage, and a written claim always being made to the carrier. It also requests details on the insured, consignee, transport, damage description, discovery of damage, carrier responsibility, compensation calculation, comments, payment instructions, and enclosed documents.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Claim Form Cargo Insurance

    Uploaded by

    jatin tyagi
    309 views2 pages
    The cargo insurance claim form requests information about damaged goods being kept for survey, the receiver containing damage, and a written claim always being made to the carrier. It also requests details on the insured, consignee, transport, damage description, discovery of damage, carrier responsibility, compensation calculation, comments, payment instructions, and enclosed documents.

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    claim-form-cargo-insurance

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    The cargo insurance claim form requests information about damaged goods being kept for survey, the receiver containing damage, and a written claim always being made to the carrier. It also requests details on the insured, consignee, transport, damage description, discovery of damage, carrier responsibility, compensation calculation, comments, payment instructions, and enclosed documents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    309 views2 pages

    Claim Form Cargo Insurance

    Uploaded by

    jatin tyagi
    The cargo insurance claim form requests information about damaged goods being kept for survey, the receiver containing damage, and a written claim always being made to the carrier. It also requests details on the insured, consignee, transport, damage description, discovery of damage, carrier responsibility, compensation calculation, comments, payment instructions, and enclosed documents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Cargo Insurance

    Claim Form
    Please note! Please enclose:
    – Damaged goods must be kept for survey. – invoice
    – Receiver of goods is responsible to contain the damage. – waybill
    – Always make a written claim to carrier. – written claim to carrier
    – other documents of interest to this claim

    insured
    Name Insurance number

    Address Insurance list

    Tel: Fax:

    Claims handler Mobile:

    E-mail:

    consigneé
    Name Tel: Fax:

    Claims handler Mobile:

    Address E-mail:

    transport

    Lorry Vessel (state name) Air Rail Mail

    Carrier/Forwarder

    Date of loading Depature from:

    Arrival date Transport to:

    goods

    damage

    Description of damage
    05.05
    Inhouse SE

    Continue on page 2 »
    If-7664:3

    If Skadeförsäkring AB (publ), Säte: Stockholm, Organisationsnummer: 516401-8102


    important!

    When was the damage discovered Was the damage visible on arrival? Was the waybill claused?
    Yes No Yes No
    Have you held carrier responsible in writing? If not, why not?
    Yes No

    compensation (It should be evident how the claim is calculated)

    Compensation asked

    comments

    payment

    Pay to: Bank details

    Address Postgiro/Bankgiro

    signature

    I/we confirm that the above is true and correct

    Date Signature

    Name in block letters

    enclosed documents

    Invoice Waybill, B/L Claim against carrier

    Police report Photos Survey report

    If P&C Insurance Ltd If P&C Insurance Ltd


    Marine Claims Marine Claims
    S-106 80 Stockholm, Sweden VFH
    Tel: +46 8 771 43 00 00 SE-405 36 Gothenburg, Sweden
    Fax: +46 8 792 72 20 Tel: +46 771 43 00 00
    Fax: +46 31 345 66 35

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