Reviewed by Bill Watson RISE Manager Day Centre Approved in monthly Not required as existing procedure. Page No Context Revision Date
|
|
- Suzanna Henderson
- 8 years ago
- Views:
Transcription
1 VEHICLE ACCIDENT PROCEDURE Prepared by Approvals The signatures below certify that this procedure has been reviewed and accepted, and demonstrates that the signatories are aware of all the requirements retained herein and are committed to ensuring their provision. Name Signature Position Date Reviewed by Bill Watson RISE Manager Day Centre Approved in monthly Not required as SMT meeting existing procedure October 2012 Amendment Record Page No Context Revision Date Existing procedure reviewed Additions relating to completion of Accident/Incident Form Nov
2 Procedure All of the following accidents must be reported to the Finance Director and Facilities Manager who will inform our insurers and the Police as required. Accidental or malicious damage to the vehicle. Accidents of any kind where damage is caused to the Foundations vehicles Accidents involving lamp posts, telegraph poles, bollards, manhole covers, road signs or other public property. Accidents involving private fences, walls, gateposts, etc must be reported to the above plus to the property owner wherever possible. All of the following incidents must be reported to the Finance Director and Facilities Manager who will inform our insurers. Fire damage Any traffic offence, endorsement, imposition of penalty points etc. Parking offences Minor vehicle defects that affect roadworthiness e.g. broken headlamp, bulb etc. Actual or attempted theft of or from the vehicle. Instructions for Drivers at the Scene of an Accident The following action must be taken at the scene of the accident and subsequently: Obtain names, addresses and, if possible, motor insurance details from each third party driver involved in the accident. Make a note of the make, description, e.g. van, car or bus, and registration details of every vehicle involved. If any vehicle is, or appears to be, owned by a company or business, obtain the name and address of the owner. Give your name and address: Company name and address to all third parties and insurance details by completing the Third Party Information Sheet (see Appendix 1). At no stage admit liability. Make no comment or statement on the accident ( except to a police officer) Notify the police if personal injury has been sustained by anyone in the accident, or if the third party did not stop or drove off before giving you personal details, and in cases of theft. Obtain the names and addresses of as many independent witnesses as possible. Pace out (measure) the position of vehicles on the road and take pictures of the scene if possible. Do not remove your vehicle under its own power if this could cause further damage. Contact the Finance Director or Facilities Manager who will make arrangements for the removal of the vehicle. Complete the Accident Report Form (see Appendix 2), and show the location, third party details, details of witnesses, police action and the circumstances. 2
3 The accident report form must be sent to the Finance Director and Facilities Manager immediately after the accident. A Strode Park Foundation Accident/Incident Form must be completed and forwarded to your manager as soon as possible Notify your employer where personal injury has occurred by following the guidance given in the Accident Procedure. No person, other than the Finance Director or Facilities Manager is authorised to give you any instructions concerning vehicle insurance claims or related expenditure. 3
4 Appendix 1 ACCIDENT INFORMATION FOR THIRD PARTY For Drivers of Strode Park Vehicles involved in an accident This form provides the only information you should give to the other driver(s) involved in the accident. Do not be persuaded to add anything else, sign anything else or admit liability. Strode Park Foundation Strode Park House Lower Herne Road Herne Bay Kent CT6 7NE Telephone Number : Insurance Company : AVIVA Policy Number : 47FLW Vehicle Registration : Vehicle Type : Driver s Name : N.B. You should always obtain similar details from the other party involved. 4
5 Appendix 2 VEHICLE ACCIDENT REPORT FORM To be completed at the scene of the accident Do Not Admit Liability Time of accident : Date of accident : Weather Condition: Accident Location Road from : Road to : Road No. : Approximate position on road: Road Name : Witnesses: Witnesses: Name : Name : Address : Address : Telephone No. : Telephone No. : Third Party Vehicle involved or Property Damaged Driver s Name : Driver s address Vehicle Reg. No. : Make / Type : Owners name : Owners address ( if other than driver ) Brief details of damage : Insurance company : Policy No. : Own Vehicle Details Drivers Name : Vehicle Reg. No. : Make / Type : Brief details of damage : If reported to Police Officers Name : Number : 5
6 Station : A sketch of the scene of the accident should be made and should include where possible: 1. Width of roads and numbers 2. Position of vehicles, before, during and after 3. Skid marks : length and direction 4. Prominent features, i.e. lamp posts, traffic signs, zebra crossings, road signs, speed limits ( if no speed limit sign state speed limit ) 5. Indicate direction of travel of all vehicles involved using arrows. 6. If you have a camera available photograph scene from all angles 7. Mark the point of impact / damage on a) Your vehicle b) Third Party Vehicle ( If relevant ) Please fill in the Third Party Information Sheet and pass to the driver An SPF Accident/Incident Form must be completed and passed to your manager as soon as possible 6
MOTOR VEHICLE ACCIDENT CLAIM FORM
MOTOR VEHICLE ACCIDENT CLAIM FORM Insurer: Insured Identity No.: Occupation: Phone No.: Vehicle Reg No.: Date Purchased: Make: Tare: Gross Vehicle Mass: Kilometers: Price Paid: Value: Year: Model: If the
More informationMOTOR VEHICLE ACCIDENT CLAIM FORM
MOTOR VEHICLE ACCIDENT CLAIM FORM Insurer: Policy No.: VAT Reg. No.: Insured Identity No.: Occupation: Phone No.: Vehicle Reg No.: Make: Tare: Gross Vehicle Mass: Kilometers: Date Purchased: Price Paid:
More informationDrivers Company Handbook
Drivers Company Handbook Contents General Handbook 1) Foreword 2) General Introduction and Driver Responsibilities 3) Statutory Regulations 4) Private Use 5) Business Use 6) Personal Vehicle Management
More informationMotor vehicle insurance claim form
Motor vehicle insurance claim form Suva: 231 Waimanu Rd Phone: 331 1055 Fax: 330 3475 Nadi: Main Street Phone: 670 1451 Fax: 6701221 Important Notes To assist Dominion Insurance Limited ( us/our/we ) process
More informationYour Accident Fact Kit
Your Accident Fact Kit We hope you find our Accident Fact Kit helpful in the event of an accident. Please be sure to print multiple copies and keep them in the glove compartment of your vehicle in the
More informationMOTOR ACCIDENT CLAIM FORM
MOTOR ACCIDENT CLAIM FORM Please do not obtain any quotations. We will appoint an Assessor to assess the damage to your vehicle. Clear copy of Driver s licence to be submitted with claim form. Insured
More informationYour Accident Fact Kit
Your Accident Fact Kit We hope you find our Accident Fact Kit helpful in the event of an accident. Please be sure to print multiple copies and keep them in the glove compartment of your vehicle in the
More informationMOTOR ACCIDENT CLAIM FORM
MOTOR ACCIDENT CLAIM FORM INSURED Insurer Policy No. Occupation VEHICLE Make Model Odometer Reading Value Tare Gross Vehicle Mass Registration No Date of purchase Purchase price If vehicle is subject to
More informationMotor Vehicle Claim Form
phone: +64 9 377 4314 fax: +64 9 373 4882 email: claims@icib.co.nz web: www.icib.co.nz Level 7, 26 Hobson Street Auckland, PO Box 3174 Auckland 1140, New Zealand Motor Vehicle Claim Form Policy Details
More informationMOTOR ACCIDENT CLAIM FORM
MOTOR ACCIDENT CLAIM FORM Broker details Broker name Claim number: Jhb Policy number: Jhb Certificate number Insured details Full name and surname Occupation ID VAT number Postal and code Work tel Home
More informationMotor Vehicle Accident Report Form
Motor Vehicle Accident Report Form 1300 725 788 Your Car, Your Choice Know Your Rights Service & Quality Guaranteed One Call Does It All Owner s Particulars (PLEASE COMPLETE IN BLOCK LETTERS) Full Name
More informationYour Accident Fact Kit
Your Accident Fact Kit We hope you find our Accident Fact Kit helpful in the event an accident. Don't forget to keep a pen with your kit. Keep the kit in your glove box, just in case you need it. It includes:
More informationMotor Accident Report Form
POLICYHOLDER DETAILS Policy Number: Name of Insured/Trading Title Claim Ref: Date of Birth: Email Occupation/Business Daytime Are you registered for VAT? Yes No If Yes please state VAT reg. no. PERSON
More informationPublic Liability Insurance Claim Form
& Public Liability Insurance Claim Form Completing this Form Please answer all questions. This will help us to process your claim quickly. If you need more space to answer any of the questions or wish
More informationMotor Accident Report Form
Motor Accident Report Form Tel: 01423 876000 Rural Insurance Group Limited The Lenz Hornbeam Park Harrogate HG2 8RE Fax: 01423 874127 INSURED Motor Accident Report Form Policy. Name Home Tel.. Work Tel..
More informationMotor Accident Report Form
Completing the claim form It is always important to notify your Insurer of a claim as soon as possible after an accident has occurred. Please therefore complete this form and return it to us within 14
More informationFrequently Asked Questions
Frequently Asked Questions Important Numbers Claims and Accident Helpline *We recommend you save this number to your mobile phone 0800 404 6016*(24 hours) Policy Changes 0844 800 0463 Quotes and Renewals
More informationPUBLIC AND/OR PERSONAL LIABILITY CLAIM FORM
PUBLIC AND/OR PERSONAL LIABILITY CLAIM FORM IMPORTANT NOTICE Please read the Claim Form fully prior to answering the questions. If anyone holds you responsible for their accident/injury, insist their claim
More informationCHURCH AND COMMERCIAL PROPERTY CLAIM FORM
Methodist Insurance plc Brazennose House, Brazennose Street, Manchester M2 5AS Telephone 0161 833 9696 Facsimile 0161 833 1287 CHURCH AND COMMERCIAL PROPERTY CLAIM FORM CLAIM NUMBER: (Office use only)
More informationClaim form Motor accident
Claim form Motor accident 30 EAGLE STAR INSURANCE COMPANY (IRELAND) LTD CGL 25495 A member of the Zurich Financial Services Group www.eaglestar.ie Motor accident Policy number: Claim number: This form
More informationPlease don t delay - report same day
How to make a claim How to make a claim Early reporting 1 Methods of reporting a claim 2 Policy covers Comprehensive cover 3 Non-comprehensive cover 3 Legal expenses 3 Broken windscreen or other glass
More informationTradewise Insurance Company Ltd
Tradewise Insurance Company Ltd MOTOR ACCIDENT REPORT FORM Ensure all sections of this form are completed fully. Also note that any attempt to defraud Underwriters will result in criminal prosecution.
More informationHolburn Holdings (Pty) Limited Insurance Brokers VAT No. 4690259439
Holburn Holdings (Pty) Limited Insurance Brokers VAT No. 4690259439 Block C, Abrey Eco Park, 5 Abrey Road, Kloof, 3610 FSP Licence No. 45159 P.O. Box 198, Gillitts, 3603 031 7640481 Fax: 031 7640178 or
More informationFor Employers Driving at Work Policy
For Employers Driving at Work Policy Road Safety You may already have a driving for work policy within your health and safety policy or as a separate document. If you do, it may be useful to check that
More informationBasildon Council - Motor Vehicle Claim Form
Basildon Council - Motor Vehicle Claim Form Please ensure you read the following information before completing this claims form and that you complete this form thoroughly, failure to complete the form
More information1. University General Fleet refers to conditions for management of vehicles purchased by the University for pool or special purpose use.
UNIVERSITY TRANSPORT POLICY Motor vehicles, purchased by the University, are managed under one of two arrangements. Each of these arrangements is governed by a discrete policy as indicated below. Although
More informationMOTOR VEHICLE ACCIDENT Claim Report
MOTOR VEHICLE ACCIDENT Claim Report HBA General Insurance and Mutual Community General Insurance Insurer: Mutual Community General Insurance Pty Ltd Abn 59 007 895 543 Please retain this page for your
More informationClaim form Motor Vehicle
Claim form Motor Vehicle The Company does not admit Liability by the issue of this Form. It is issued to enable the Insured to lodge their written statement of claim. CLAIM NUMBER OFFICE USE ONLY Claim
More informationMOTOR VEHICLE ACCIDENT CLAIMS
MOTOR VEHICLE ACCIDENT GUIDANCE NOTES AND REPORT FORM MOTOR VEHICLE ACCIDENT CLAIMS GUIDANCE NOTES The following notes have been prepared to help you make your claim. We recommend that you read them carefully
More informationMOTOR ACCIDENT REPORT (NOT FOR USE ON THEFT CLAIMS OR MOTOR TRADE)
Insurance Company Limited MOTOR ACCIDENT REPORT (NOT FOR USE ON THEFT CLAIMS OR MOTOR TRADE) First Response Claims Line 0845 373 1300 Fax 020 7068 7740 Email claims@tradex.com www.tradex.com Policyholder
More informationMOTOR VEHICLE CLAIM FORM (Accident or Theft)
Cowden Group MOTOR VEHICLE CLAIM FORM (Accident or Theft) The supply or acceptance of this form is not an admission of liability on the part of your Insurer 1. Your Details Policy No Expiry of Insured
More informationMotor Vehicle. Claim Report
Motor Vehicle Claim Report Please retain this page for your information IMPORTANT INFORMATION ABOUT YOUR CLAIM This form must be completed and signed by the person who was driving your vehicle, or the
More informationHow To Fill Out A Claim Form For A Car Accident In The Uk
Motor Vehicle Claim Report Please retain this page for your information IMPORTANT INFORMATION ABOUT YOUR CLAIM This form must be completed and signed by the person who was driving your vehicle, or the
More informationMOTOR TRADE CLAIM FORM
Insurance Company Limited MOTOR TRADE CLAIM FORM First Response Claims Line 0845 373 1300 Fax 020 7068 7740 Email claims@tradex.com www.tradex.com Policyholder s Name Company Name Policy No. (cover note
More informationMotor accident. Claim form. telephone 01 667 0666 fax 01 667 0644 website www.zurich.ie 06/08 FI 44766
Zurich House Ballsbridge park Dublin 4 telephone 01 667 0666 fax 01 667 0644 website www.zurich.ie ZURICH INSURANCE IRELAND LIMITED IS REGULATED BY THE FINANCIAL REGULATOR Claim form Motor accident 30
More informationMaking claims clear Making a motor claim
Making claims clear Making a motor claim ACLD0886C-A AXA Insurance UK plc Registered in England and Wales No 78950. Registered Office: 5 Old Broad Street, London EC2N 1AD. A member of the AXA Group of
More informationInsuring. vehicle. your. A guide to the principles of motor vehicle insurance to help you choose the cover you need.
Insuring your vehicle A guide to the principles of motor vehicle insurance to help you choose the cover you need. Motor vehicle insurance the facts There are three types of general insurance that cover
More information1. Your Details 2. Insured Vehicle Description
MOTOR VEHICLE CLAIM The issue or acceptance of this form is not to be construed as an admission of liability on the part of the company. Shaded areas for office use only. Please print clearly. Claim Number
More informationMinibus Driving - Code of Practice
Minibus Driving - Code of Practice RESPONSIBILITY The Minibus It is the responsibility of Campus Service Supervisor/Fleet Manager to ensure that all minibuses used by the University are in a roadworthy
More informationMotor vehicle Accident report form
Motor vehicle Accident report form The issue of this form is not an admission of a claim Insurers maintain a motor insurance anti-fraud and theft register and exchange information with each other to prevent
More informationSAMPLE POLICY ON THE USE OF COMPANY VEHICLES. 1. Purpose: To set out policy of The Company with regard to the use of company vehicles.
SAMPLE POLICY ON THE USE OF COMPANY VEHICLES Policy No: Edition No: Issued by: Issue Date: Effective From: 1. Purpose: To set out policy of The Company with regard to the use of company vehicles. 2. Scope:
More informationO LEARY INSURANCE GROUP
PART A - POLICYHOLDERS DETAILS Your name: Your Insurer + Policy Number: Your address: Your e-mail address (if any): Your occupation: Phone numbers Daytime: Evening: Mobile: Fax: Are you registered for
More informationVEHICLE ACCIDENT REPORTING KIT
VEHICLE ACCIDENT REPORTING KIT SAFE DRIVING IS A FULL TIME JOB! REPORT ANY INCIDENT / ACCIDENT WITHIN 24 HOURS TO: GLATFELTER CLAIMS MANAGEMENT, INC. 10100 Trinity Parkway, Suite 110 P.O. Box 7187 Stockton,
More informationDAWES MOTOR INSURANCE MOTOR VEHICLE CLAIM FORM IMPORTANT NOTICES
DAWES MOTOR INSURANCE MOTOR VEHICLE CLAIM FORM PO Box 2717 Taren Point NSW 2229 Telephone: 1300 188 299 Facsimile: 1300 662 215 Email: claims@dawes.com.au www.dawes.com.au Before completing this claim
More informationMOTOR VEHICLES, ACCIDENTS AND ALCOHOL
MOTOR VEHICLES, ACCIDENTS AND ALCOHOL This is a guide to what you must and should do if you: are involved in a motor accident; have dealings with a police officer involving a motor vehicle; are required
More informationMotor Vehicle Claim Form
SSAA Insurance Brokers Pty Ltd Phone (08) 8332 0281 The Precinct Freecall 1800 808 608 Suite 14, 539 Greenhill Road Facsimile (08) 8332 0303 539 Greenhill Road Email insurance@ssaains.com.au Hazelwood
More informationSOLOMON ISLANDS NATIONAL UNIVERSITY TRANSPORT POLICY
SOLOMON ISLANDS NATIONAL UNIVERSITY TRANSPORT POLICY Approved by Council, 20 th August 2014 Contents TRANSPORT POLICY... 3 (1). PURPOSE... 3 (2). DEFINITIONS... 3 (3). AUTHORITY... 3 (4). RESPONSIBILITY...
More informationMOTOR VEHICLE ACCIDENT CLAIM REPORT
MOTOR VEHICLE ACCIDENT CLAIM REPORT CGU Insurance Limited ABN 27 004 478 371 Please retain this page for your information ABOUT YOUR CLAIM Please obtain one quotation for the repair of your vehicle from
More informationMotor Vehicle Claim Form
1st Floor, 50 Hindmarsh Square Adelaide SA 5000 PO Box 6095 Halifax St Adelaide 5000 Phone 08 8413 6300 Facsimile 08 82119838 enquiries@brecknock.com.au brecknock.com.au Motor Vehicle Claim Form We re
More informationHow To Get A No Claims Discount From Original Insurance
Frequently Asked Questions Important Numbers Claims and Accident Helpline 0330 100 3123 (24 hours) Glass Helpline 0844 248 7065 (24 hours) Policy Changes 0330 100 3161 Quotes and Renewals 0800 980 1693
More informationPrivate Vehicle Motor Insurance Key Facts
Private Vehicle Motor Insurance Key Facts This is a summary of your policy and does not contain the full terms and conditions of your insurance policy. The full terms and conditions can be found in your
More informationMOTOR VEHICLE CLAIM FORM
MOTOR VEHICLE CLAIM FORM The Issue of this Form is not an Admission of Liability by Insurers We understand the difficulties arising from your accident. Please complete and return this claim form as soon
More informationMotor Accident Claim Form Insured Section
Motor Accident Claim Form Insured Section Date Insured Name Insured Licence Code Licence : Date of Issue Insured Id Policy Insured Address Suburb Town Province Code Contact Person Landline Number Fax Number
More informationKey Policy Information
Key Information Inside you ll find a summary of your car insurance tescobank.com Tesco Bank Car Insurance Key Information This is a summary of cover available under Tesco Bank Car Insurance. It does not
More informationMOTOR VEHICLE CLAIM FORM
MOTOR VEHICLE CLAIM FORM Dear Policyholder, We re sorry to hear you ve had an accident. Our aim is to settle your claim as quickly as possible. You can help us do this by ensuring the enclosed claim form
More informationmotor vehicle motor vehicle insurance for privately owned non-commercial vehicles accident claim report
motor vehicle insurance for privately owned non-commercial vehicles motor vehicle accident claim report Insurer CGU Insurance Limited ABN 27 004 478 371 An IAG Company CGU Insurance Limited ABN 27 004
More informationFACULTY OF EDUCATION AND THEOLOGY INITIAL TEACHER EDUCATION TRANSPORT POLICY
FACULTY OF EDUCATION AND THEOLOGY INITIAL TEACHER EDUCATION TRANSPORT POLICY September 2013 Contacts School Partnership Office Head of School Partnership Office Nicola Thompson 01904 876549 School Placement
More informationMOTOR VEHICLE CLAIM FORM
MOTOR VEHICLE CLAIM FORM How to obtain a quick response to your claim: 1. Make sure that you fully answer all questions 2. Attach a copy of the Driver s Licence for the driver of the vehicle at the time
More informationDAWES MOTOR INSURANCE MOTORCYCLE CLAIM FORM IMPORTANT NOTICES
DAWES MOTOR INSURANCE MOTORCYCLE CLAIM FORM P.O. Box 2717 Taren Point NSW 2229 Phone: 1300 188 299 Fax: 1300 662 215 claims@dawes.com.au To ensure prompt attention to your claim, please complete this form
More informationHow To Get A Car Insurance From Tesco Bank Value Car Insurance
Policy Summary Inside you ll find a summary of your Value car insurance tescobank.com Tesco Bank Value Car Insurance Policy Summary This is a summary of cover available under Tesco Bank Value Car Insurance.
More informationClaim notification form (RTA1) Low value personal injury claims in road traffic accidents ( 1,000-25,000)
Date sent / / Claim notification form (RTA1) Low value personal injury claims in road traffic accidents ( 1,000-25,000) Before filling in this form you are encouraged to seek independent legal advice.
More informationClaim notification form
Before filling in this form you are encouraged to seek independent legal advice. Date sent / / Claim notification form Low value personal injury claims in road traffic accidents( 1,000-10,000) Are you
More informationSOUTH CAROLINA BAR. Auto Accidents and the Law
SOUTH CAROLINA BAR Auto Accidents and the Law BE PREPARED Because accidents happen to even the best of drivers, everyone should be prepared to do the right things immediately afterward. Many legal troubles
More informationMOTOR VEHICLE INSURANCE PROPOSAL FORM
MOTOR VEHICLE INSURANCE PROPOSAL FORM In completing the Proposal Form please ensure that questions are answered fully and accurately and where necessary schedules giving further explanation are provided.
More informationwhat to do in case of an auto accident
what to do in case of an auto accident Keep this pamphlet with a pencil and paper and your insurance card in your car. What These Words Mean Scene The place where the accident happened. Witness A person
More informationSECTION 2 Insurance March 2014
SECTION 2 Insurance March 2014 Paragraph Insurance 2.1 Accident/Insurance Claims 2.2 Insurance Cover whilst travelling abroad 2.3 Windscreen/Windows Replacement Service 2.4 Loan of County Minibus Vehicles
More informationMOTOR VEHICLE ACCIDENT QUESTIONNAIRE & CHECKLIST
EQUILAW Solicitors Ph: 02 6542 5566 Market House 4 Market Street Muswellbrook NSW 2333 Fax: 02 6543 4397 info@equilaw.com.au equilaw.com.au MOTOR VEHICLE ACCIDENT QUESTIONNAIRE & CHECKLIST Bring this completed
More informationMOTOR VEHICLES, ACCIDENTS AND ALCOHOL. Do the right thing see your lawyer first
MOTOR VEHICLES, ACCIDENTS AND ALCOHOL Do the right thing see your lawyer first Contents 1. Motor vehicles, accidents and alcohol 2. Accidents 3. Contact with police officers 4. Breath and blood alcohol
More informationHow to Complete a Property Repair Accident - Mandatory Information Form
How to complete the form Mandatory Information - Please provide a response to all the questions in the mandatory section, including comprehensive details relating to the incident and the extent of the
More informationClaim notification form
Before filling in this form you are encouraged to seek independent legal advice. Date sent / / Claim notification form Low value personal injury claims in road traffic accidents( 1,000-10,000) Are you
More informationINSURANCE COVER FOR ATHLETES
INSURANCE COVER FOR ATHLETES Who is Insured? As an athlete who has paid (or is deemed to have paid) subscriptions to a club or organisation affiliated to UKA, England Athletics, Scottish Athletics, Athletics
More informationVehicle Policy Version 2 January 28, 2014
Vehicle Policy Version 2 January 28, 2014 Contents Record of Updates...2 1. Background...3 2. Types of Transportation...3 3. Usage...3 4. Public Transportation...3 5. Privately Owned Vehicles...3 5.1 Authorization...
More informationSUPPLEMENT. Information Questionnaire Motor Vehicle Accident
JZ helps an injury law firm 1450 Madruga Ave. Suite 200 Coral Gables, Florida33146 Tel: 305 661 9977 Toll-free: 888 594 3577 Fax: 786 472 4179 Website: jzhelps.com SUPPLEMENT Information Questionnaire
More informationVEHICLE ACCIDENT CLAIM FORM
Please help us to help you by: completing all relevant questions in full as this can avoid the need for further enquiry and possible delay in settling your claim signing and dating page 7 of this form
More informationCOUNTY OWNED VEHICLE USAGE POLICY. Effective January 1, 2009
COUNTY OWNED VEHICLE USAGE POLICY Effective January 1, 2009 Ohio Revised Code 307.72 states that motor vehicles purchased or leased as provided by section 307.41 of the Revised Code shall be for the use
More informationClaim notification form (Form RTA1)
Date sent / / Claim notification form (Form RTA1) Low value personal injury claims in road traffic accidents( 1,000-10,000) Before filling in this form you are encouraged to seek independent legal advice.
More informationHEAVY MOTOR FLEET INSURANCE CLAIM FORM
HEAVY MOTOR FLEET INSURANCE CLAIM FORM Take precautions to ensure that no further damage or loss occurs to the vehicle. Where possible have the vehicle moved to a secure location if not drivable. Obtain
More informationMOTOR VEHICLE CLAIM FORM
MOTOR VEHICLE CLAIM FORM Dear Policyholder, We re sorry to hear you ve had an accident. Our aim is to settle your claim as quickly as possible. You can help us do this by ensuring the enclosed claim form
More informationMOTOR VEHICLE CLAIM FORM
MOTOR VEHICLE CLAIM FORM (If there is not enough room on this form for your answers, please attach a separate sheet, indicating the Section and Question you wish to complete.) Please lodge your claim to
More informationsecure boat claim form
secure boat claim form NOTES: The issue of this Claim Form is not an admission of liability on our part. All questions must be fully answered in either black or blue pen. Please print clearly and tick
More informationSERVICE STANDARD 5.3.5 FLEET INSURANCE FOR NSW RFS APPLIANCES
SERVICE STANDARD 5.3.5 FLEET INSURANCE FOR NSW RFS APPLIANCES ITEM Policy Title DES CRIP TION Fleet Insurance for NSW RFS Appliances Policy Number 5.3.5 Version Number 1.0 SOPs Policy Owner Policy Contact
More informationFLEET MANAGEMENT POLICY
FLEET MANAGEMENT POLICY Contents 1. OBJECTIVES OF THIS POLICY...3 2. DUTIES OF THE TRANSPORT OFFICER...3 2. ITINERARIES...4 3. LOG-BOOKS FOR OFFICIAL VEHICLES...4 1 3.1 Completion...4 3.2 Supply...4 4.
More informationCommunity Underwriting Motor Claim Form
Community Underwriting Motor Claim Form About the Insurer Calliden Insurance Limited (Calliden) (ABN 47 004 125 268), is a public company incorporated in Australia. It is authorised under the Australian
More information19. Injury, Accident, and Loss Reporting
19. Injury, Accident, and Loss Reporting Overview This section discusses the following topics: Where to Report Claims Reporting Workers Compensation Illnesses and Injuries Reporting Automobile Accidents
More informationUsing your Minibus legally and safely Church of Scotland Law Department
Circular August 2012 Minibus Guidance CoS Law Department Using your Minibus legally and safely Church of Scotland Law Department Why is this guide important? The use of minibuses and other large vehicles
More informationC L A I M S M A N A G E M E N T & M I T I G A T I O N - T I P S T O H E L P P R O T E C T Y O U R S E L F A G A I N S T F R A U D A N D L I M I T Y O
C L A I M S M A N A G E M E N T & M I T I G A T I O N - T I P S T O H E L P P R O T E C T Y O U R S E L F A G A I N S T F R A U D A N D L I M I T Y O U R L I A B I L I T Y M a y 6, 2 0 1 5 W H O I S A
More informationClaim Form. Motor Vehicle. Section 1 (To be completed by Owner): Occupation. Name of insured. Address. Phone No [ ] Year Model.
Section 1 (To be completed by Owner): Policy no Name of insured Occupation Expiry Date Phone No [ ] Make of Vehicle Mileage Registration No Year Model Co-Owner In whose name is the registered? For what
More informationMOTORCYCLE INSURANCE CLAIM FORM
MOTORCYCLE INSURANCE CLAIM FORM PO BOX 6156, NORTH SYDNEY, NSW, 2059 PHONE: 1300 781 448 FAX: 02 8920 1275 E-MAIL: CLAIMS@MI-BIKE.COM.AU Please ensure that all questions are answered in full in as much
More informationMotor Accident Claim Form
Motor Accident Claim Form Agricultural Commercial & Private Vehicles www.towergateunderwriting.co.uk Guidance Notes Most delays in settling claims arise because claim forms are not fully completed or requested
More informationMotor Vehicle Claim Form
Motor Vehicle Claim Form MOTOR VEHICLE CLAIM FORM Dear Policyholder, We re sorry to hear you ve had an accident. Our aim is to settle your claim as quickly as possible. You can help us do this by ensuring
More informationMotor Vehicle Claim Form
Motor Vehicle Claim Form Dear Policyholder, We re sorry to hear you ve had an accident. Our aim is to settle your claim as quickly as possible. You can help us do this by ensuring the enclosed claim form
More informationCOMPANY CAR AND CAR ALLOWANCE POLICY
COMPANY CAR AND CAR ALLOWANCE POLICY GENERAL It is the intention of Pilgrims Hospices to move progressively towards providing a car allowance for all employees who need cars routinely for business purposes
More informationpolicy summary car insurance what you need to know NI October 2011
policy summary car insurance what you need to know NI October 2011 redefining standards a summary of our car insurance policy significant general exceptions and policy conditions applies to all sections
More informationVW Camper Van Hire, Pembrokeshire, Wales. Booking can be arranged through the website, email, or telephone call.
Terms and Conditions of Hire Our aim is to provide customers with a vehicle in prime condition so you can have the best, relaxing holiday you wish for. Here are our terms and conditions of hire. Booking
More informationMOTORCYCLE CLAIM FORM ACCIDENT DAMAGE (The issue of this form is not an admission of liability)
MOTORCYCLE CLAIM FORM ACCIDENT DAMAGE (The issue of this form is not an admission of liability) This form should be completed and forwarded to - ECHELON CLAIMS SERVICES GPO Box 1693 Adelaide SA 5001 Facsimile:
More informationGAUNTLET MOTOR CLAIM FREQUENTLY ASKED QUESTIONS INDEX
GAUNTLET MOTOR CLAIM FREQUENTLY ASKED QUESTIONS INDEX FIRST STEPS 1. When an accident happens involving one of my vehicles what should I do? 2. When should I contact Gauntlet? 3. Are photographs important?
More informationPRAIRIE ROSE SCHOOL DIVISION SECTION E: SUPPORT SERVICES (PART 3: TRANSPORTATION)
EMJ ACCIDENTS INVOLVING SCHOOL BUSES File EMJ The Bus Driver shall immediately verbally inform the Supervisor of Operations who shall call the police to the scene of all accidents involving the school
More information