Get Professional Indemnity Claim Form - Architeam - Architeam Net

Filling out the Professional Indemnity Claim Form is an important step in managing your claim efficiently. This guide will provide you with a step-by-step approach to complete the form accurately, ensuring that all necessary information is included.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Please enter the full name and address of the insured. Include the policy number, policy inception date, policy expiry date, and contact information such as telephone, facsimile, and email address.
3. Provide the full name and address of the claimant, or the possible claimant, who is claiming against the insured.
4. Indicate when the insured performed the service that may give rise to the claim.
5. Specify the name of the person who performed the work or against whom the claim is directed.
6. Note the date when the insured first became aware of the circumstances related to the claim.
7. Indicate when the allegation of negligence was first made against the insured.
8. Determine if the first intimation was verbal or in writing. If it was written, attach a copy; if verbal, provide a summary of the conversation.
9. If applicable, state the amount being claimed.
10. Describe what the insured was contracted to do and whether this retention was documented in writing. If so, attach the relevant documentation.
11. Provide a detailed narrative of the facts and circumstances surrounding the claim.
12. Include any additional relevant details that may assist the insurers in understanding the matter better.
13. Print your name and position, sign the declaration confirming the accuracy of the information provided, and date the form.
14. After completing the form, you can save changes, download, print, or share the form as necessary.

Start completing your Professional Indemnity Claim Form online today and ensure your claim is processed efficiently.