Goods-in-Transit Claim

1Claim Information
2Schedule

1. Name of insured

2. Address

3. Policy Number

4. Full Address at which damaged goods may be seen

5. Date of Loss

6. Give full details of how the loss occurred

7. In the case of loss by theft, have the Police been notified? If so, give name of Station and date of notification

8. Do the goods belong to you, if not, give full details of owners

9. Are there any other insurance covering this loss?

10. What was the total value the goods being transported?

11. Amount of Loss? (The attached Schedule must be completed)

I / We hereby declare that the property described herein was lost / damaged during the course of the journey covered by the Policy and I / we further declare the correctness of the information given.

Date

Supporting Documents

Forms

Others

Country

Proposal+-

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Goods-in-Transit Claim

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