Get Machinery Breakdown Claim Form

Filling out the Machinery Breakdown Claim Form online is a critical step in ensuring timely processing of your claim for damages. This guide provides a clear and step-by-step approach to completing the form accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by entering the full name of the insured person in the designated field.
3. Fill in the address, telephone number, and business occupation of the insured.
4. Enter the policy number and the due date to maintain accurate records.
5. Describe the machine or property that was damaged, including the make, type, size, and serial number.
6. Indicate the age of the property and the date of the last overhaul, ensuring completeness and accuracy.
7. Select whether the property is regularly maintained and provide details of who maintains it and how often.
8. State the present day value and replacement value of the damaged property.
9. Document the time, date, and place of the accident, including the specific location of damage.
10. Discuss the cause and description of the damage incurred during the incident.
11. Provide the name and address of the repairer, and indicate if repairs involve any overtime or express carriage of goods.
12. Confirm whether any additional work is being carried out while the item is dismantled, and indicate repairs authorization.
13. If damage was caused by a third party, enter their name(s) and address(es), as well as any claims made against them.
14. Include details on other insurances covering the damaged property, and indicate if the property is covered by a guarantee or indemnity.
15. Review the declaration section, ensuring all particulars shown on the form are true and complete.
16. Provide the date of signature and print or share the signed claim form as needed.
17. Finally, save changes, download a copy, and print the form for your records or submission.

Complete your Machinery Breakdown Claim Form online now to ensure prompt processing of your claim.