Get Eskom Claim Form

Filling out the Eskom Claim Form online is an essential step for users seeking to submit an insurance claim. This guide will provide you with clear and detailed instructions on each section of the form to ensure your submission is complete and accurate.

Follow the steps to successfully complete the Eskom Claim Form

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Enter the policy number in the designated field. This is crucial for linking your claim to the appropriate insurance policy.
3. Provide the Eskom project name and contract description. This information helps to identify the relevant project for your claim.
4. Fill in the Eskom cost centre number and WBS number as required. These numbers are used for internal processing purposes.
5. Complete the details of the contractor, including the company name and reference number. Ensure accuracy to avoid delays.
6. Input the physical address of the contractor if it differs from the project site. Include the postal code for postal communications.
7. Indicate whether the claim pertains to maintenance or a general overhaul by selecting 'Yes' or 'No'. Repeat this step for Eskom new works.
8. Provide the contract start and end dates, as well as specific details regarding the loss or damage incurred.
9. Record the date and time of loss, as well as the place of loss or damage. This helps in establishing the context of the claim.
10. Detail how the loss occurred and the extent of the damage. Be thorough, as this information will support your claim.
11. Estimate the loss amount in the designated field and provide details of the police report, including the police station name, case number, and date reported.
12. Include contact information for the site location representative, including their name, telephone number, and email address.
13. Read and understand the declaration by the claimant. Sign, date, and print your name to confirm the information provided is accurate.
14. After completing the form, save your changes, and download or print the document for your records.
15. Consider sharing the form with relevant parties if necessary for further processing.

Complete the Eskom Claim Form online today to ensure your claim is processed efficiently.