Vehicle Theft Report

• ARNIE

• Conducted on

  Date

• Prepared by

• Location
  Address

CLAIM DETAILS

• Claim Number

• Claim Type

  Stolen Recovered

  Stolen Burnt Out

  Stripped / Dismantled

• Insured Name

VEHICLE DETAILS

• Registration Plates on Vehicle ?

  No

  Yes

• Registration Number

• Registration Expiry Date

  Date

• Vehicle Odometer Visable

  Yes Visable

  No Not Visable

• Vehicle Odometer

ENTRY / ACCESS DETAILS

• Steering Lock Intact ?

  No

  Yes

• Forced ?

  No

  Yes

• Hot Wired ?

  No

  Yes

• Started Without Key ?

  Yes Visable

  No Not Visable

• Started With Key ?

  No

  Yes

• Started With Foreign Object ?

  No

  Yes

• Door Locks Intact ? If Yes - tap here to Comment or Take Image of the Point of Entry.

  No

  Yes

• Boot Lock Intact ?

  No

  Yes

• Door Glass Intact ? If No Please Comment.

  No

  Yes

ENGINE BAY

• Engine has correct oil level ?

  No

  Yes

• Radiator has Coolant and correct level ?

  No

  Yes

• Transmission oil and level ?

  No

  Yes

• Is Engine Oily ?

  No

  Yes

• Vehicle Identification Plates / Stickers

  Removed

  Burnt

  Intact

ELECTRICAL

• Wiring

  Intact

  Disconnected

  Burnt Out

  Cut

• Hoses

  Intact

  Disconnected

  Burnt Out

  Cut

CONTENTS

• Description of Vehicle Contents

• Glove Box Contents

• Boot Contents

FIRE

• Accelerant Container Found ?

  No

  Yes

• Floor Scraped for Keys ?

  No

  Yes

POSITION OF WINDOWS

• RH Front

  Up

  Half Way

  Down

• RH Rear

  Up

  Half Way

  Down

• LH Front

  Up

  Half Way

  Down

• LH Rear

  Up

  Half Way

  Down

TYRES

• Tyre Wear Normal ? If No - tap here to Comment or Take Image.

  No

  Yes

• Tyre Abuse ? If Yes - tap here to Comment or Take Image

  No

  Yes

• Any Wheels Missing ?

  No

  Yes

• Wheel Type

  Alloy

  Steel

  Other

HAZARDOUS MATERIAL INSPECTION

• Police notified the vehicle contains/ contained hazardous materials ?

  No

  Yes

• Tow operator advised the vehicle contains/ contained hazardous materials?

  No

  Yes

• Tow operators vehicle inventory obtained ?

  No

  Yes

• Insured advised the vehicle contains / contained hazardous materials ?

  No

  Yes

• Repairer advised the vehicle contains / contained hazardous materials ?

  No

  Yes

• Floor inspected for hazardous materials ?

  No

  Yes

• Seats inspected for hazardous materials ?

  No

  Yes

• Hazardous material sweep has been done on the vehicle ?

  Safe

  At Risk

  N/A

CLAIM STATUS

• Claim recommended to be Authorised ?

  No

  Yes

• Claim needs Investigation ?

  No

  Yes

• Does the claim need a Forensic Report ?

  No

  Yes

• Investigator to contact Assessor ?

  No

  Yes

• Assessors comments or concerns ( include any comments made by the Insured to the assessor )

• Assessor to Sign

  Sign

• Please Take Image of Vehicle

  Media