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Include information relative to any other loss or damage not covered by questions 1 2 or 3 of this form. Policyholder s Signature Date Allianz 3 Cromac Quay The Gasworks Ormeau Road Belfast BT7 2JD Tel 028 9089 5600 Fax 028 9043 4222 E-mail info allianz-ni. Transit Claim Form 1 Insured Name of Policyholder Address Postcode Policy No* BT CGL Phone No* Home Business Email Do you use conditions of trading If Yes What are they Work Yes Are they applicable in this case If No do you accept common law liability If No what liability do you accept under contract or agreement with the customer concerned What is the upper limit of such liability No Please attach copies of Consignment Notes Bills of lading and other documents and/or correspondence evidencing the terms agreed with your customer and any other parties involved in the performance of the contract. 2 If Road Haulage or Freight Forwarding Contracts is Involved A Consignor s Name and Address B Collection Point if different from above Name....

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How to fill out the Allianz ALL 82.qxd online

Filling out the Allianz ALL 82.qxd form is an essential step in submitting a transit claim. This guide provides clear, step-by-step instructions to ensure that all required information is accurately completed, streamlining your claim process.

Follow the steps to complete the form effectively.

  1. Click ‘Get Form’ button to access the form and open it in the editor.
  2. In the ‘Insured’ section, provide the name of the policyholder, their address, postcode, and policy number. Include the home and business phone numbers, as well as the email address.
  3. Indicate whether conditions of trading are used. If ‘Yes’, detail them; if ‘No’, specify the type of liability accepted under contract or agreement with the customer.
  4. Attach necessary documentation, including copies of consignment notes, bills of lading, and other evidence reflecting the terms agreed upon with customers and involved parties.
  5. If the claim involves road haulage or freight forwarding contracts, fill out the names and addresses of the consignor, collection point, and consignee. Additionally, provide details on the principal contractor if applicable.
  6. Provide information about the vehicle involved in the claim, including its make, registration number, and the driver's name and address, along with employment duration and the number of vehicles operated.
  7. Describe the nature of the load, including the number of items, weight, and value. Mark the dates of collection and delivery along with the signatures received at both points.
  8. Answer the general information questions regarding police reports, insurance of goods, and any inspection details related to the claim.
  9. Include a comprehensive description of the occurrence along with employee statements if available. Provide any additional explanations regarding unexplained deficiencies of the load.
  10. Sign and date the form in the designated areas to finalize the submission.

Complete your Allianz ALL 82.qxd transit claim form online today for a smooth claims process.

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We are the global leader in trade credit insurance and a recognized specialist in the areas of surety, debt collection, fraud insurance, structured trade credit and political risk.

“A+” (excellent) rating by Better Business Bureau (BBB) “A+” (superior) rating by AM Best. Strong financial stability. Offers multiple forms of insurance.

For a full refund of your premium, you must cancel within 15 days of your plan purchase (depending on your state of residence) and must not have filed a claim or departed on your trip. Premiums are non-refundable after this period.

Since 1890, the worldwide Allianz Group has been working hard to secure people's lives. As a wholly owned subsidiary of Allianz Group, Allianz Australia has been insuring customers for over 100 years.

Issuer Review: Allianz SE and Allianz Life Annuities are NOT guaranteed. They are only backed by the ability of the issuing insurance company's ability to pay. Therefore if the issuer goes bankrupt, you are at risk of losing everything! Allianz SE is a global financial services group headquartered in Munich, Germany.

Formerly known as Manufacturers Mutual Insurance Limited, we became Allianz Australia in July, 2000.

Allianz is one of the leading providers of business insurance in Ireland with a proven track record of meeting the technical insurance requirements of medium to large businesses. We work in partnership with you and your insurance intermediary to ensure we deliver the most appropriate insurance for your needs.

We're one of the largest general insurers in the UK, offering a range of personal and commercial insurance solutions for our customers.

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