Chris Harris

Insurance claim form

Residential building insurance claim form

Use this Template

Print as PDF

Use this Template

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Title Page

Job number
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

Job#
Date and time
Address
What stage is the job at
Building site manager
Date & time of incident
Police report #
Is the value of claim expected to be under &$1000
Is the value of the claim expected to be over $5000
Stolen:
Damage: ( please include cause of damage e.g. Storm, vandalism, etc.)
Expect invoices to be received from:
Photos

Chris Harris

Insurance claim form

Residential building insurance claim form

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.