Get Kbis Permanent Loss Of Use Claim Form

Filling out the KBIS Permanent Loss of Use Claim Form online can seem overwhelming, but with this step-by-step guide, you will be able to complete the form efficiently and accurately. Each section is designed to gather essential information regarding your claim, ensuring clarity and precision in your submission.

Follow the steps to fill out the KBIS Permanent Loss of Use Claim Form online.

1. Press the ‘Get Form’ button to access the claim form. This action will enable you to open the document in an editing tool for completion.
2. Begin with the 'Policyholder's Details' section. Enter your full name, address, and certificate number. Ensure you include a contact telephone number for any queries related to your claim.
3. Move to the 'Section to be Completed by the Policyholder.' Provide the usual veterinary surgeon's name, their address, and telephone number.
4. Proceed to the 'Details of Insured Horse.' Fill in the horse's name, age, purchase date, price paid, ownership status, color, sex, and sum insured. Specify if you are the sole owner, and if not, clarify on the reverse side.
5. Describe the purpose for which the horse was being used at the time of the event leading to the claim. Provide details about who was in charge of the animal during the incident, including their name, address, and contact number if they are not you.
6. In the 'Details of Claim' section, specify the amount you are claiming in both words and figures. Include the date, time, and place where the horse first became ill or injured, along with a detailed account of the illness or injury.
7. Document the date and time your veterinary surgeon first advised you and when they arrived to attend to your horse.
8. Provide information on any circumstances leading to the illness or injury, along with names and addresses of any other involved parties.
9. Indicate whether you have any other insurance for your horse, and if so, provide relevant details.
10. State if you have had any previous illnesses or injuries involving this horse while in your possession. Include any previous insurance payments received, listing the insurance company, date, amount, and horse name.
11. Finally, affirm the accuracy of your provided information by signing and dating the form. Review your responses to ensure completeness before submission.

Complete your documents online to ensure a smooth claim process.