Page 151 - claims information pack ebook_e

Example Claim Form - Instructions

Evidence to support your claim 4. If a question gives a choice of answer of YES or
Claimants must prove their loss by providing NO, please enter a X next to the relevant answer.
appropriate evidence. Evidence can include 5. Please refer to the information given in the
photographs or video of the damage, business 1992 Fund's Claims Manual, which provides
cancellation letters, till receipts, invoices, guidance on the admissibility of claims and
consignment sales records, tax accounts etc. the 1992 Fund’s guidelines appropriate to the
More detailed guidance on the required evidence category of claim. These documents can be
is provided in the relevant claim category downloaded from the Publications section of
section of this form. Original documents must the IOPC Funds' website (www.iopcfunds.org).
be submitted with the claim form. You are Alternatively, please contact the IOPC Funds at
6
advised to retain photocopies of all of the the address given below, or via the website for
documents you provide to us in order that a hard copy of the 1992 Fund Claims Manual.
you also have a record.
6. Please refer to the checklists for each category

When filling in this claim form of claim, which provide details of the information
which you will be required to submit in support
1. The claim form may be completed
of your claim.
electronically or by hand. If completing by
hand, please ensure you write clearly (please 7. You are strongly advised to keep a photocopy
use BLOCK CAPITALS, using black ink). of everything you send us, in case it gets lost in
the post, or in case it is required at a later stage.
2. If submitting your claim electronically, the Please note supporting documents will only be
boxes provided will expand as you enter the
returned upon request and normally only on
details of your claim, however additional pages settlement of the claim.
and spreadsheets can be added, provided it is
clearly indicated to which question they relate. 8. Any property damaged beyond repair must
If completing your claim form by hand you are be retained until an expert appointed by the
shipowner’s insurer/1992 Fund has examined
advised to use extra blank sheets of paper if
there is not enough space for your answer, but the property and/or has expressly agreed to the
disposal of the property.
again please indicate clearly to which question
they relate. 9. If you would like any help with filling in this form,

3. Your claim will only be assessed if you please contact the shipowner’s insurer/1992
provide sufficient information to prove Fund. They will be happy to answer your
questions and help you prepare your claim.
your loss. If you are unable to provide such
evidence, please contact the shipowner’s 10. You must complete the claim form as fully and
insurer/1992 Fund for advice on the most accurately as possible to avoid any delay in
appropriate method of presenting your claim. processing your claim.