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NON-MOTOR CLAIM FORM Broker's name Policy # INFORMATION TO BE SUPPLIED BY THE INSURED (PLEASE ANSWER QUESTIONS FULLY) 1 THE INSURED Name Age ID number Physical address Occupation Contact telephone
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How to fill out non motor claim form

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How to Fill Out Non Motor Claim Form:

01
Start by carefully reading the instructions on the non motor claim form. Make sure you understand the purpose and requirements of the form.
02
Begin by providing your personal information in the designated fields. This may include your name, contact details, and policy number.
03
Next, provide a detailed description of the incident or accident for which you are making the claim. Include specific information such as the date, time, and location of the incident.
04
If there were any witnesses to the incident, include their contact information as well. This can help support your claim if necessary.
05
Fill in the details of the other party involved in the incident, if applicable. This may include their name, contact information, and insurance details.
06
Provide a description of the damages or losses incurred as a result of the incident. Be as specific as possible and include any supporting documents such as photographs or repair estimates.
07
If you have already reported the incident to the authorities or your insurance company, include the reference or claim number provided.
08
Review the completed form to ensure all information is accurate and complete. Make sure you have signed and dated the form before submitting it.
09
Keep a copy of the completed form for your records before sending it to the appropriate recipient.

Who needs Non Motor Claim Form:

01
Individuals who have experienced a non motor-related incident such as theft, personal injury, or property damage may need to fill out a non motor claim form.
02
Insurance policyholders who have coverage for non motor-related incidents may be required to submit a non motor claim form to initiate the claims process.
03
Anyone seeking compensation or reimbursement for losses or damages resulting from a non motor-related incident may need to fill out and submit a non motor claim form.
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Non motor claim form is a document used to report a claim for damages or losses that are not related to motor vehicles.
Any individual or organization who has experienced damages or losses unrelated to motor vehicles may be required to file a non motor claim form.
To fill out a non motor claim form, you will need to provide details about the damages or losses, the circumstances surrounding the incident, and any other relevant information requested on the form.
The purpose of a non motor claim form is to document and process claims for damages or losses that are not related to motor vehicles.
Information that must be reported on a non motor claim form includes details about the damages or losses, the date and location of the incident, any witnesses, and any supporting documentation.
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