Page 176 - claims information pack ebook_e

Example Claim Form Section D
Claim Number (for internal use only) PART 2 Section D
Economic loss in the tourism sector
and other related businesses

Completing a claim for economic loss in the ● Details of changes in capacity of the business ● Method of calculation of loss
(for example the number of bedrooms in a
tourism sector and other related businesses hotel) and changes in opening hours or prices ● Details of any measures taken to prevent
or minimise pure economic loss by
charged in the year in which the loss occurred counteracting the negative impact of
and during the previous three years
the pollution on the activity, including
● Saved overheads or other normal variable
description and costs
expenses (toiletries, electricity, cleaning and
maintenance costs, etc.) as a result of the ● Please declare whether you have received
downturn in activity for which you are claiming. extra income as a result of the incident
● Saved labour costs as a result of the downturn For further information please refer to
in activity for which you are claiming sections 3.4 and 3.5 in the Claims Manual.

Summary of your claim
1) Name/type of business activities, e.g. hotel, restaurant, shop (please specify what type of shop), 31
guest house, boat operator, other activity (please specify)

2) Capacity of the business (e.g. number of rooms, restaurant seats, area of retail space etc.)

3) How long have you run the business under the current ownership?

Opening period of your business

4) Please indicate the normal opening period of your business by ticking the appropriate checkbox and
completing the relevant information:

Open all year From .........../........... to.........../...........20[..]
Seasonal opening (specify hours of opening) Opening hours: from.............to .................

5) After the incident, did you close your business? Yes No
If YES, indicate the period and the reasons for the closure