Page 30 - The Insurance Times June 2020

17. IT Return record.
18. In case of Bank Loan / Cash Credit, Bank Sanction Letter & latest Bank statement Submitted to Bank.
19. Purchase / Sales / Asset Registrars.
20. Stock value on the date of loss.

B. Immediate loss advice summary to be submitted to the insurer after the visit
of all loss sites in the following format:

Name of the Surveyor:
Licence No.
SL Insured Policy Estimate ILA Location Date of visit
No. Name Number (in lakhs) (in lakhs)

Submission of interim survey report in the following simplified format:

IIISLA Membership Number Date:
License No.: SLA / ……
Expiry Date: ……………

Report Ref. No……………..

INTERIM SURVEY REPORT- CYCLONE AMPHAN MAY 2020

Claim No. ….............................. Policy No. …………………………………..

Reported Loss due to CYCLONE AMPHAN MAY 2020

A/c Insured Name.

THE INCIDENT Reported Loss due to CYCLONE AMPHAN MAY 2020

THE INSURED
THE INSURER/s

POLICY NUMBER/s ……………… Insurance Policy

No. ………………
(Policy Schedule enclosed - Enclosure 1)

DETAILS OF FINANCIER'S IF ANY
POLICY PERIOD

CLAIM NUMBER

30 The Insurance Times, June 2020