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Showing posts with label Insurance Documentation Examples. Show all posts
Showing posts with label Insurance Documentation Examples. Show all posts

Letter to Stock Exchange for intimation of Accident

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Sample Letter Format in Word Doc for Disruption of Operation due to Flood / Fire at Factory



ABC Corp/ST Ex/2012-13/

April 22, 2013

Dear Sirs,

Sub:  Disruption of operation due to flood / fire at our Factory situated at Khapoli, Maharashtra on 20.04.2013

We refer to Clause 36 of the Listing Agreement with Stock Exchange and accordingly inform the following:

We would like to intimate you that there was an incidence of flood / fire occurred in the DRI Division of our Factory situated at Khapoli, Maharashtra on Sunday, the 20th April, 2013.  Preliminary survey reveals that the equipment and machineries in that room have been damaged by the fire.

As a result, about half of the manufacturing process has got disrupted.  However, other half of the process from the semi-finished goods is in operation and will continue till stocks last, which is estimated for about a week’s time.  Thereafter, the entire operations of the factory will get stopped.  It is estimated that it may take around 8 weeks to start normal operations.
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Sample Letter for Insurance Payment

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How to write a letter for Vehicle / Car Insurance Payment

ABC Corp/ICICIL/2012-13
October 19, 2012

M/s ICICI Lombard Ltd.
56 Nariman point
Mumbai – 452 012

Dear Sirs,

Enclosed please find herewith Cheque No. ________ dtd. ________ for Rs. _______ /- (Rupees __________________ only) drawn on SBI Bank issued in your favour towards insurance of INOVA purchased from Best Automotives Pvt. Ltd.
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House Insurance Cancellation Letter

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Sample Template Example of Home Insurance Surrender / Closure Letter in Word / Doc / Pdf Free Download


HOME OWNER PROPERTY INSURANCE POLICY TERMINATION NOTICE / LETTER

[DATE, ex. Wednesday, June 11, 2014]

[NAME, COMPANY AND ADDRESS, ex.
John Smith
XYZ Inc.
1234 First Street
Suite 567
Anycity, Anystate  85245]

Dear [NAME, ex. John Smith],

Re: Policy No. [NUMBER OF INSURANCE POLICY]

You are hereby notified that the property which we owned located at [ADDRESS OF PROPERTY]  was sold on [DATE OF SALE OF PROPERTY, ex. November 30, 2014] and that the mortgage in favour of [NAME OF MORTGAGE COMPANY] has been paid out in full.

Accordingly, would you kindly cancel the policy and provide us with a refund of the unearned portion of the insurance premium.  Please mail the refund to us at [ADDRESS OF INSURED].

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Sample Letter Requesting Receipt Payment

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How to write / Template Example of Payment Receipt Request Letter Format to Insurance Surveyor against Transit Insurance Damage Assessment Report in India in word/ .doc

To,                                                                                                                  02.07.2013
Debasish Chatterjee
Nerul Sea View
Co-Op JK. Society
A-1-2/5, Sector-2
Nerul, Navi Mumbai

                        Request for Payment Receipt against Survey Fees
Dear Sir,

With reference to your following Survey Fees Bills, We are glad to inform you that we have released your payment (Cheque No. 234123) on 02.07.2013.
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Accident Insurance Intimation Letter

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Sample / Template/ Example of Covering Request Letter to Insurance Company to Depute a Surveyor for damage assessment in word/ .doc Format

RSL/LIC/2013-14
Date :  September 15, 2013

The Divisional Manager
Life Insurance Corporation
Nariman Point Head Office
Mumbai – 458 451
Kind Attn  :    MR ANUJ JAIN

Reference :    POLICY NO. -------------- – VALID UPTO 31.03.2014

Dear Sir,

With reference to the above policy, this is to inform you that we have received total 150 pcs (Plastic Boards) in damaged condition due to truck accident during shipment of our material from factory ( Khapoli)  to our Mumbai godown. 

The details are given below:
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Insurance Policy Renewal Letter

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Sample Master Insurance Policy Renewal Premium Payment Covering Letter in word/. Doc Format

RSL/LIC/2013-14/
December 30, 2013

The P. Manager ( P & GS )
Life Insurance Corporation of India
14/1 M G Road
Bangalore – 658 545

Dear Sir,

Sub. :  Renewal Premium of Master Policy Number: -------------.

With reference to the above policy, we are enclosing herewith a Cheque bearing No. -------, dt. 23/12/2013 for Rs.--------/- (Rupees ---------------- Only) drawn on SBI Bank issued in favour of “LIC of India” towards the renewal premium for the aforesaid policy.
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Name Correction Request Letter Format

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Sample Covering Letter for Employee Name Correction in ESIC

RSL/ESIC/2013-14
January 14, 2014

The Manager
Employees State Insurance Corporation
45/1 M G Road
Bangalore – 458 458

Ref: Code No. ------------

Sub: Change of Name


Dear Sir,

Please be noted that the smart card bearing IP No. ---------- in the name of Mr. Manu Nahak bears the wrong name. The correct name as per the old ID card is Mr. Mintu Nahak.

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Policy Maturity Letter

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Sample Covering Request Letter to LIC for Release of Payment against Matured Insurance Policy in word/ .doc
February 22, 2013
To
Life Insurance Corp. of India
Branch Office: City Branch 1
45/3 Arun Viahar
Delhi -158 545

Dear Sir,

Sub : Matured LIC Policy No. 000001- payment against

Enclosed please find original LIC Certificate along with discharge form duly filled in and signed for effecting maturity payment.
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Accident Claim Settlement Letter

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Sample Small Full & Final Claim Settlement Letter between company & Transporter against material damaged in Fire Accident in word/ .doc format


MINUTES OF THE MEETING HELD BETWEEN ROCKET SALES LTD. AND ABC TRANSPORT LTD. ON 12.03.2014 AT CORPORATE HOUSE, 19TH FLOOR, 14/5 NARIMAN POINT, MUMBAI-458 457

PRESENT



From Rocket Sales Ltd.(RCL)

From M/s ABC Transport Ltd.(ATL)
Mr N K Ojha, Manager (Purchase)

Mr S K Sharma, Regional Manager
Mr R Jain, Manager (Accounts)



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Material Damage Certificate

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Sample Template Format of Damage Certificate (Required for Insurance Claim) issued by Transporter / Carriers for material damaged in transit.

All Subject to Mumbai jurisdiction only

               Phone : --------
               Fax : 022- ------             
ABC TRANSPORT CO.
THE MOST TRUSTED NAME IN ROAD CARRIERS
Adm. Office : 14, PVR Road, Mumbai 458 005

Ref. No. ………………..                                                                              Date : ………………
                                                                                                                 Issued from Mumbai
CERTIFICATE
(WITHOUT PREJUDICE)
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Damage Certificate Format

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Sample / Template Format of Damage Certificate From Transporter / carrier for Transit Insurance claim / Insurance for water damage completion, Corner Broken etc in word / .doc 

TRANSPORT CORPORATION OF INDIA


Branch :                                                                                       Date : 14th January, 2014

SUBJECT TO MUMBAI JURISDICTION

DAMAGE / SHORT CERTIFICATE WITHOUT PREJUDICE
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Letter to Transporter for Claim & Damage Certificate

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Sample / Template Request / Complaint Letter for Transportation Damage in word/.doc Format

ROCKET SALES LIMITED
NIRAMAL BUILDING, 18TH FLOOR
40/5 NARIMAN POINT,
MUMBAI – 458 554
________________________________________________________________________
 

Ref. No……………………….                                                       Date:…………………

M/s …………………………………………………….
…………………………………………………………..
…………………………………………………………..
…………………………………………………………..

Dear Sirs,
Re.: Consignment Note No.:

        Dt ………………  Ex. Khapoli to ………………

We write to inform you that we have received …………….. pcs. of HR Sheets in damaged condition. Thus you are requested to register our formal claim and to issue us the damage certificate at an early date in respect of the following damages:
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Sample Letter Format for Payment against PDC Cheque

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Example / Template Covering Letter for Payment against vehicle / Car Loan via Post Dated Cheques in word / Doc format

ABC Corp/RCL/2012-13

October 19, 2012

M/s Reliance Capital Ltd.
578, Raj Bhavan
New Delhi – 600 045
                                
Dear Sirs,

Enclosed please find herewith following Cheques without putting dates thereon drawn on SBI Bank issued in your favour towards security deposit against ECS payment for purchase of INOVA from Best Automotives Pvt. Ltd.
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Sample letter format for Installment Payment

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Example / Template Covering Letter for EMI payment for Vehicle / Car Loan in word / doc format

ABC Corp/BAPL/2010-11
October 19, 2012


M/s Best Automotives Pvt. Ltd.
45 Rash Bihari Road
Chennai – 545 245

Dear Sirs,

Enclosed please find herewith Cheque No. ________ dtd. ________ for Rs._______ /- (Rupees _____________________ only) drawn on SBI Bank issued in your favour towards down payment, 1st EMI, Registration Fees and logistic charges for purchase of INOVA.

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Transit Insurance Procedure with Letter Formats

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Corporate Transit Insurance Claim Procedure



ABC CORPORATION LTD.

October 15, 2012

To All Concern Branches
CIRCULAR

If Materials under transit gets damaged due to different reasons, we are supposed to inform the Insurance Company & its our duty to provide required information/data/documents to the Surveyor appointed by the Insurance Company under the transit insurance Policy.

While intimating to the Regional office of the Insurance Company in your City as well as to the transporter, you are required to have  information/documents viz ready with you.

i)             Copy of Invoice/Challan
ii)           Copy of L/R
iii)          Copy of FIR, if lodged
iv)          Photographs taken
v)           Assessment sheet of loss

As mentioned above, a letter must be issued to the transporter alleging him for the losses that incurred during transit; the loss should be quantified properly.  This letter should be receipted with legible seal and signature, if sent by post, then NO COURIERS ARE TO BE USED but only by registered post with A/D (Draft copy of letter annexed as ‘A’).

Further, the letter sent to the local insurance company must contain information about the mishap in brief.   Subsequently, a request to be made to appoint a Surveyor to inspect the damages.  Date, place and time should also be given. Our representative should be present with the Surveyor, helping him to show all the damaged boards and making the exact loss assessment (Draft copy of letter annexed as ‘B’).

From our past experience, it is noticed that due to incomplete papers, we cannot recover our claims in full.  Hence, all are advised to intimate Mr Sachin Talwar at Head Office about all the progress and developments regarding any loss, so that in future we can improve upon recovery levels.
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Letter for Insurance Claim Lodge Guidelines

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Circular for Insurance claim filing Guidelines



ABC CORPORATION LTD.
  
CIRCULAR
April 19, 2013

To All Branches 

It has been observed that Consignments under transit gets damaged at different places and we are supposed to inform the Insurance Company as well as to provide required information/data/documents to the Surveyor appointed by the Insurance Company under the transit insurance Policy.
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Coverage of Insurance Guidelines Letter for Purchase Department

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Circular for Advance Intimation for Insurance Coverage



ABC CORPORATION LTD.

CIRCULAR
April 19, 2013

Purchase Department

Sub : Coverage of Insurance

Whenever you need coverage of Insurance towards imported consignments or Fuel in transit, you are being advised to provide the information well in advance preferably 5 days along with the copies of the following documents:
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Process Flow For The Lodgement Of An Insurance Claim for Transit Damage

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STEPS INVOLVED IN THE PROCESS

1) A letter from your branch office to be issued to the local branch of the transporter for to hold them responsible for the Loss of value of your consignment as they have not taken adequate protections to safeguard our material from Rain Water, Damages etc. In this letter tentative quantum of loss should be specified which should be higher than the actual loss; that will be subsequently incorporated in the claim bill.

2) A letter from your branch office should be issued to the local office of Insurance Company/ Respective Insurance Company, informing about the truck/shipment Incident /Accident & Losses incurred there in.

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