Title Page

  • Conducted on

  • Inspected by

  • PH Name

  • Reference Number

  • Location
  • Peril Type

  • Date of Incident

Site Inspection

  • The inspection was carried out in the presence of:

  • Relation to Claim?

  • Area(s) under inspection:

  • Items Affected:

  • Given Description of Incident

  • Report of Damage Inspected

Area

Inspected Areas / Items

    Add Area

Area

  • Area Name

  • Add item
  • Item

  • Type of Flooring

  • Fitting Method

  • Description of Flooring

  • Age of Item (Years)

  • Purchased From?

  • Receipt Available?

  • Pre-loss Condition

  • Ancillaries Fitted

  • Type of Underlay

  • Type of Gripper

  • Types of Doorplate

  • Size of Flooring Required

  • Ancillaries Required

  • Underlay Required M²

  • Gripper Required (1.5m length)

  • Doorplates Required

  • Length of Seam(s)

  • Beading required (2.4m length)

  • Other ancillaries required

  • Services Required

  • Reason

  • Due to:

  • Replacement Cost (£) and items required

  • Suggested Outcome

  • Type of Furniture

  • Age of Item (Years)

  • Purchased From?

  • Receipt Available?

  • Pre-loss Condition

  • Size

  • Replacement Cost (£)

  • Suggested Outcome

  • Description of item including sizes and replacement costs

  • Age of Item

  • Purchased From?

  • Pre-loss Condition?

  • Receipt Available?

  • Suggested Outcome

Concerns

  • Are there any concerns over the validity of the claim?

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