Get General Liability Claim Form

Filling out the General Liability Claim Form online can streamline the process of reporting accidents. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your claim form online.

1. Click ‘Get Form’ button to access the General Liability Claim Form and open it in the designated editing interface.
2. Enter the name of the insured in the first field, ensuring accurate spelling to avoid delays in processing your claim.
3. Provide the date and time of the accident. This information is crucial for establishing the context of the claim.
4. Specify the location of the accident, including a complete address if possible. This helps in understanding where the incident occurred.
5. Indicate whether you own the premises where the accident occurred. If you do not, please provide the owner's name and phone number.
6. If you are not responsible for the premises' maintenance, list the responsible party along with their contact information.
7. In the description of the accident section, provide a detailed account of what happened. Clear descriptions assist in the evaluation of the claim.
8. For bodily injury reports, fill in the name, address, and phone number of the injured person. Indicate if they sought medical treatment and provide the medical provider's name if applicable.
9. For property damage, describe the damaged property thoroughly, then provide the owner’s name, address, and phone number.
10. List any witnesses to the accident, including their contact information. Witness statements can be vital in supporting your claim.
11. Provide the name and phone number of the person reporting the claim, as well as the preferred contact person for follow-up inquiries.
12. Add any additional comments that may provide further context or details regarding the claim.
13. Once completed, save your changes. You can choose to download, print, or share the General Liability Claim Form for submission.

Submit your completed General Liability Claim Form online to ensure your claim is processed efficiently.