|
|
|

|
|
Instructions for Preparation of
Loss/Damage Claim Form
Please
refer to this page when filling out your claim form.
|
|
|
|
1.
No claim will be considered properly presented
until the company has received the completed
signed claim form indicating a demand for
a specific amount of money and accompanied
by the required documentation. ALL CLAIMS
MUST BE SUBMITTED TO I.T.I. WITHIN 45 DAYS
OF DELIVERY. Incomplete claim forms will not
be processed and will be returned for completion.
The
container and contents should be preserved
in the condition received until the survey
or inspection has been completed unless further
damage would result. The insurance company
reserves the right to inspect and verify all
reported damages or to ask for substantiation
of any claimed amounts. Appraisal fees are
not covered by this certificate. The disposal
or additional transport of any damaged item(s)
is prohibited unless approval has been obtained
from I.T.I. or your claim has been completed.
|
|
|
2.
Note the following "Details of Claim" section of form:
|
- Inventory Number:
Whenever
possible, indicate the corresponding "number"
shown on the inventory. On packed items, indicate the
container number.
- Description of
Item: Describe each item for which claim is being made. If
claiming for missing items, the contents of the containers
must be identified as accurately as possible.
- Nature of Claim: Indicate type,
severity, and location of damage on each article.
- Item Age, Date Acquired,
Original Cost, Replacement Price: Please complete
entries in these columns as accurately as possible.
- Amount Claimed : If the claim is
for damage, enter only the cost of repairing the item. If the
claim is for loss, enter the replacement cost of the missing
item or the amount stated on the valued inventory. The
Underwriter reserves the right to require proof of ownership
and/or value of any item claimed damaged or missing.
- Salvage : If the
Underwriters replace, make a total loss payment, or pay the
insured amount as shown on the valued inventory for a damaged
article, they, at their option, have the right to salvage the
damaged article. The Underwriters also reserve the right to
inspect and verify the claimed damages on any item.
|
|
|
|
3.
On claims for damages to household goods items,
WE REQUIRE BOTH PICTURES AND ESTIMATES. Repair
estimates should be made by an appliance/furniture
repair firm, or marine surveyor, on their
letterhead. Attach to claim form. Appraisal
fees are not covered by this insurance contract.
DO NOT PROCEED WITH REPAIRS WITHOUT WRITTEN
AUTHORIZATION FROM I.T.I.
|
|
|
4.
Attach copy of mover's inventory, delivery exceptions, bill of
lading, assured's copy of insurance certificate, and other documents
to support the claim.
|
|
|
5.
If the damage exceeds US$1,000.00, a survey MAY be required. Upon
notification of a claim, I.T.I. will immediately assign a survey
agent if it is deemed necessary.
|
|
|
6.
In order to protect the Underwriter's interest, we ask that you
IMMEDIATELY write a letter to the air or ocean carrier who
transported your shipment and also to the origin and destination
agents. Advise them that loss or damage has occured to your property.
Enclose copies of these letters with your Claim Presentation Form.
|
|
|
7.
We suggest that you send your claim form by registered mail so you
will have proof that the 45 day time limitation requirement has been
met.
|
|
|
|
|
|
|
| You
will need Adobe Acrobat Reader to view
this digital form. If you do not have
Adobe Acrobat Reader, please click "Get
Acrobat Reader" button to download
the program. |
 |
|
|
|
|
|
|
|
|

|
|