Call us for a FREE Quote
0800 601 029
You could save
or more on your insurance
Toll Free in Botswana only
Get a Quote
All Risks Claim Form ( Electronics & Other Items)
Please complete all questions as fully as possible
Has the property been stolen or damaged
Address of the premises or place, where loss or damage occurred (If lost) from premises please state use of premises)
Full particulars of circumstances of the loss or damage
Date and time when loss or damage was discovered
By whom discovered?
Date and time when articles(s) last seen
By whom last seen and where?
When were the police notified, name of station, attending officer and report number?
Has a thorough search been made for the article(s)
Have you ever before sustained previous Loss by theft?
Loss of, or damage to, any article of value from any other cause? (if so, please state particulars)
Is the property for which you are claiming insured against Burglary, Theft Loss or Damage, with any other Company or underwriter?
Was the property stolen from a car or unlocked premises? provide details
Are you the sole owner of the property? If not give the name of the owner.
Full statement of claimed items to be provided overleaf
signature / Name of insured
The amount claimed will be limited to the sum insured, the intrinsic value at the time of the loss and any other terms of conditions of the policy. Where applicable details of damage and repair costs should be stated.
Description of article
To whom the article belonged
From whom purchased / received (address)
purchase / received date