CLAIM DETAILS

  • Claim Number

  • Claim Type

  • Insured Name

VEHICLE DETAILS

  • Registration Plates on Vehicle ?

  • Registration Number

  • Registration Expiry Date

  • Vehicle Odometer Visable

  • Vehicle Odometer

ENTRY / ACCESS DETAILS

  • Steering Lock Intact ?

  • Forced ?

  • Hot Wired ?

  • Started Without Key ?

  • Started With Key ?

  • Started With Foreign Object ?

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

  • Boot Lock Intact ?

  • Door Glass Intact ? If No Please Comment.

ENGINE BAY

  • Engine has correct oil level ?

  • Radiator has Coolant and correct level ?

  • Transmission oil and level ?

  • Is Engine Oily ?

  • Vehicle Identification Plates / Stickers

ELECTRICAL

  • Wiring

  • Hoses

CONTENTS

  • Description of Vehicle Contents

  • Glove Box Contents

  • Boot Contents

FIRE

  • Accelerant Container Found ?

  • Floor Scraped for Keys ?

POSITION OF WINDOWS

  • RH Front

  • RH Rear

  • LH Front

  • LH Rear

TYRES

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

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

  • Any Wheels Missing ?

  • Wheel Type

HAZARDOUS MATERIAL INSPECTION

  • Police notified the vehicle contains/ contained hazardous materials ?

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

  • Tow operators vehicle inventory obtained ?

  • Insured advised the vehicle contains / contained hazardous materials ?

  • Repairer advised the vehicle contains / contained hazardous materials ?

  • Floor inspected for hazardous materials ?

  • Seats inspected for hazardous materials ?

  • Hazardous material sweep has been done on the vehicle ?

CLAIM STATUS

  • Claim recommended to be Authorised ?

  • Claim needs Investigation ?

  • Does the claim need a Forensic Report ?

  • Investigator to contact Assessor ?

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

  • Assessor to Sign

  • Please Take Image of Vehicle

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