Page 152 - claims information pack ebook_e

Example Claim Form - Instructions

Once you have completed the claim form address provided opposite. You will be sent a
claim number in return (one for each section
This form, once completed, should be sent
completed under Part 2). Once you have
either electronically to the following email compiled the required original supporting
address [shipowner’s insurer/correspondent/
documents, you should clearly label these
the incident claims handling office/1992 Fund]
with your claim number(s) and post them.
or by post or in person to: [postal address You should also quote your claim number(s)
of shipowner’s insurer/correspondent/the
whenever you contact us from then on.
incident claims handling office], or to [Claims If you do not hear from us with your claims
Department, 1992 Fund, Portland House, 23rd number(s) within six weeks, you are advised
Floor, Bressenden Place, London, SW1E 5PN,
to contact us. 7
UK]. You only need to send your claim form to
one of these addresses. In either case, please send the form,
together with all supporting documents and
Electronic submission
the signed declaration, as soon as possible.
If completing the form electronically you
should print and sign the declaration in part 3, What happens next
scan the signed declaration and attach it to the Your claim(s) will be reviewed by experts
email together with the rest of the completed (who may visit you) on the basis of the
claim form (parts 1 and 2). You will then be information given by you in these forms.
sent a claim number by return email (one for The experts will report their findings to the
each section completed under Part 2). Once shipowner’s insurer/1992 Fund, who will then
you have compiled all required supporting make a decision on your claim(s). You will
documents, you should label each of them with then be informed of the assessed amount.
your claim number(s) and send any electronic You will be required to sign a Receipt and
files to the email address and any original Release form so that you may be paid the
documents, together with the original signed compensation.
part 3, to the postal address, both provided
It is not possible to tell you how long it will be
above. You should also quote your claim
number(s) whenever you contact us from then before your claim is assessed. It will depend
on. If you do not hear from us with your claim on whether you have provided sufficient
details to help assess your claim, how
number(s) within two weeks, you are advised
to contact us. complex your claim is and on the number of
other claims submitted. Your claim will be
Submission by post given our best attention to ensure as fair and
If completing the form by hand you should accurate an assessment as possible. Should
sign the declaration in part 3 and send the you have any queries on your claim, please
entire form (parts 1, 2 and 3) by post to the contact the shipowner’s insurer/1992 Fund.