Sample / Template / Example of Fire Insurance claim Application letter to Surveyor & Loss Assessor in word/ .doc Format
Thanking you,
ROCKET/INS/2013-14/
April 26, 2013
Mr Ram Lal Bajaj
Surveyor & Loss Assessor
54/2, 8th Floor, Himalaya Towers
Mumbai – 454 854
Dear Sir,
Sub: Fire at our Factory at P.O. Khapoli,
Navi Mumbai, Maharashtra on 10.04.2013
1
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Sl.No. 4 (1)
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Current policy of ICICI Lombard for the year 2013-14 with schedule of Assets and details of conditions of the policy.
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2
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Sl.No. 4 (4)
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Detailed statement of occurrence
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3
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Sl.No. 4 (5)
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Sketch showing seat and travel of fire
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4
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Sl.No. 4 (6)
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Supporting submissions as eyewitness statements
• Mr N K Ojha
• Mr Abhishek Nag
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5
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Sl.No. 4 (7)
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Police FIR and Letter from Khapoli
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6
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Sl.No. 4 (9)
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Report of factory Inspector.
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7
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Sl.No. 4 (11)
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Estimate of Loss
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8
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Sl.No. 4 (16)
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Valuation report of Land and Building for Rs. 7521 Lacs.
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9
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Sl.No. 4 (17)
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CD containing 14 items.
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Thanking you,
Yours faithfully
For ROCKET SALES LTD.
(ALOK MODI)
DIRECTOR
Encl : As stated.
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