Page 170 - claims information pack ebook_e

Example Claim Form Section C
PART 2 Section C
Economic loss in the fisheries, mariculture
and fish processing sectors

● Fishing area ● Number of production units
● Cooperative membership number/details ● Size of individual production units or area
● Nature of the loss, including evidence that the of production facility
alleged loss resulted from the contamination ● Nature of the loss, including evidence
● Number of fishing days per month that the alleged loss resulted from the
contamination
● Monthly breakdown of income for the period
● Monthly breakdown of income for the
of the loss and over the previous three years
period of the loss and over the previous
● Commission sales records over the previous
three years
three years
● Commission sales records over the
● Type of species caught 25
previous three years
● Where possible, monthly breakdown of the
● Type of species produced, harvested
quantity (kilograms) of each marine product or processed
caught for the period of the loss and over the
previous three years ● Where possible, monthly breakdown of the
quantity (kilograms) of each marine product
● Saved overheads or other normal variable
harvested or processed for the period of the
expenses (sales commission, cost of fuel, loss and over the previous three years
gas and electricity, feeding costs, ice,
packaging, maintenance) ● Saved overheads or other normal variable
expenses (sales commission, cost of fuel,
● Saved labour costs (if labourers have been
gas and electricity, feeding costs, ice,
released from employment)
packaging, maintenance)
● Method of calculation of loss
● Saved labour costs (if labourers have been
● Details of any measures taken to prevent released from employment)
or minimise pure economic loss by ● Method of calculation of loss
counteracting the negative impact of the ● Details of any measures taken to prevent
pollution on the activity, including description or minimise pure economic loss by
and cost
counteracting the negative impact of
● Please declare whether you have received the pollution on the activity, including
extra income as a result of the incident description and cost

2. Mariculture and fish processing sectors ● Please declare whether you have received
extra income as a result of the incident
Specific information required relating to
claims for economic loss in the mariculture For further information please refer to
and fish processing sectors: section 3.3 in the Claims Manual.
● Location of operation

● Proof of ownership
● License number