PROPERTY DAMAGE SITE INVESTIGATION DETAILS ICLAMS

• Site conducted

  Select

• Conducted on

  Date

• Date Contact received

  Date

• Prepared by

• Location
  Address

• File Reference

• Name of Client

• Client Address

• Risk Address

• Clients Contact Numbers

• Clients Email Address

• DOB Named Insured

• DOB Named Insured 2

• Type of Loss

• Brokers Name

• Brokers Address & Contact Number

• Brokers Contact Email

• Does The Policy Schedule Contain Both Names

  Yes

  No

  N/A

• Do The Clients Have A Joint Bank Account In Those Names

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Do The Policyholders have a Mortgage on the property

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Name Of Financial Institution

• Yes

  No

  N/A

• Is the property Mortgaged

  Yes

  No

  N/A

• Name Of Mortgage Provider

• Insurer

• Policy Number

• Inception Date

  Date

• Recent Inception

  Yes

  No

  N/A

• Policy Cover/ Sums Insured/Policy Excess

PREVIOUS CLAIMS EXPERIENCE

• Previous Claims

  Yes

  No

  N/A

• Yes

  No

  N/A

• Type Of Loss

• Date Of Loss

  Date

• Insurer

• Policy/Claim Reference

• Payments Received

CLAIM NOTIFICATION

• Date Logged

  Date

• Logged By

• Insurance Schedule Available

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Claim Reference

• Claim Form Requested

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cause Of Damage Report Required

  Yes

  No

  N/A

• Additional Information Requests

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lease Agreement/Rent Book

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Garda Pulse Number

  Yes

  No

  N/A

• Provide Pulse Number Here

• Adjuster Company Appointed

  Yes

  No

  N/A

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• Yes

  No

  N/A

ADJUSTER CREDENTIALS

• Name of Adjusting Company

• Adjuster Reference

• Adjusters Name

• Adjusters Mobile Number

• Adjusters Email Address

• Describe the Property

• How many Bedrooms

• When Built

• Is the Property Of Standard Construction

  Yes

  No

  N/A

• What is The Non Standard Construction Element

• What Percentage of Overall Floor Area

SECURITY

• Is The Property Protected By An Intruder Alarm System

  Yes

  No

  N/A

• Is The System Monitored By An Alarm Monitoring Station

  Yes

  No

  N/A

• Is The Property Protected By An Intruder Alarm System

  Yes

  No

  N/A

• Is The System Monitored By A Monitoring Stataion

  Yes

  No

  N/A

• What Type Of Heating System in The Property

• Does The Property Have Suspended Floors

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

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• Did the alarm System activate

  Yes

  No

  N/A

• Provide Explanation

  Yes

  No

  N/A

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• Yes

  No

  N/A

• Date & Time of Discovery

  Date

• Discovered by Whom

• Description Of Background or Circumstances

• Was there a plumber called

  Yes

  No

  N/A

• Plumbers Credentials

• Was There Any Recent works carried out at Premises

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Name & Address Of Contractor

• Date Of Works

  Date

• Type Of Work

• Plumber Called

  Yes

  No

  N/A

• Has the Apparatus/Pipe been Repaired/Replaced

  Yes

  No

  N/A

• Plumber Credentials

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• Yes

  No

  N/A

• Were Emergency Services in Attendance

  Yes

  No

  N/A

• What Service

• Yes

  No

  N/A

BUILDINGS DAMAGE

• Kitchen

  Yes

  No

  N/A

• Dimensions

• Type of Damage

• Utility Room

  Yes

  No

  N/A

• Dimensions

• Type OF Damage

• Living Room

  Yes

  No

  N/A

• Dimensions

• Type of Damage

• Dining Room

  Yes

  No

  N/A

• Dimensions

• Type of Damage

• Downstairs WC

  Yes

  No

  N/A

• Dimensions

• Type of Damage

• Hall

  Yes

  No

  N/A

• Dimensions

• Type of Damage

• Landing

  Yes

  No

  N/A

• Dimensions

• Type of Damage

• Bedroom 1

  Yes

  No

  N/A

• Dimensions

• Type of Damage

• Bedroom 2

  Yes

  No

  N/A

• Dimensions

• Type of Damage

• Bedroom 3

  Yes

  No

  N/A

• Dimensions

• Type of Damage

• Bedroom 4

  Yes

  No

  N/A

• Dimensions

• Type of Damage

• Bathroom

  Yes

  No

  N/A

• Dimensions

• Type Of Damage

• Yes

  No

  N/A

• Ground Floor Dimensions

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• Yes

  No

  N/A

• Yes

  No

  N/A

• Number Of Storeys

• Total floor Area

• Garage

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Dimensions

• Miscellaneous

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Item

• Dimensions

• undefined

TOTAL VAR CALCULATIONS

• Total Floor Area

• SCSI Applicable Rebuilding Rate

• Additional Miscelleaneous Items

• Lowest Acceptable Value At Risk