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Microsoft Word - Claim Form-PA _revised-draft_11.2017_. 總公司:香港德輔道中 71 號永安集團大廈八樓電話:2867 0888 傳真:3906 9921 HEAD OFFICE: 8/F., Wing On House, 71 Des Voeux Road Central, Hong Kong. Tel: 2867 0888 Fax: 3906 9921. 本公司專用本公司專用本公司專用本公司專用 Office Use.
Claim procedure: 1) 請填妥及簽署此索償表格;2 )提供證明文件;3 )於7天內郵寄至:香港德輔道中 71 號永安集團大廈八樓. 1) Complete and sign this form; 2) relevant supporting document; 3) Mail to 8/F., Wing On House, 71 Des Voeux Road Central, Hong Kong within 7 days. 各部份之「索償文件」只是概括 ...
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- 購買必需品的單據正本、列明延誤期間的航空公司行李事件報告或公共交通機構證明書
- 當地警方報告及索償人之口供紀錄副本
- 包含詳細條款及細則之租賃協議、租車費用收據正本、租車自負額收據正本
- 香港警方報案記錄、受保人的警方口供副本、受損財物清單及有關財物的購買單據
- 登機證、機票或交通票據副本、由航空公司或公共交通機構發出並列明延誤原因及期間之證明信
- □ 郵輪保障
- 與索償相關之醫院帳單或死亡證、醫生證明信、交通票據、收據及協議書及列明不獲退回之款項的旅程取消或縮短旅程之證明文件正本、有關親屬證明,如結婚證明書、出生證明書等
- 當地警方報告、購買單據、航空公司行李事件報告正本、損壞物品相片及列明損壞原因之維修報價單或不能維修之證明信
- 受保人被強制性隔離的證明文件
- 保戶簽署 ( 如屬公司請蓋章)
當地/香港警方報告、購買單據、航空公司行李事件報告正本、損壞物品相片及列明損壞原因之維修報價單或不能維修之證明信 Original local/HKSAR police report, purchase receipt(s), airline’s property irregularity report, photos of damaged property and repair quotation stating cause of damage or repairer’s written confirmation of irreparable property
Original purchase invoices of essential items, airline’s property irregularity report or public conveyance’s confirmation stating the duration of delay
Original local police report and copies of police statement taken by the Claimant
Copy of rental agreement with detailed terms and conditions, original payment receipt for the rental vehicle charges, original rental vehicle excess receipt
HKSAR police report, police statement taken by the insured person, list of the damaged property with the relevant purchasing receipts
Copy each of boarding pass, air ticket or travel ticket, written confirmation from the airlines or public conveyances stating the reason and duration of delay
旅程取消/阻礙 縮短旅程/延誤登船 取消岸上觀光津貼 衛星電話費用 Cruise Cover Cancellation/Interruption Curtailment/Failure to Board Shore Excursion Cancellation Allowance Satellite Phone Expenses
Copy of hospital invoice or death certificate; original doctor’s confirmation, travel tickets, receipts and agreements relevant to the claim and documentary proof of trip cancellation or curtailment with non-refundable amount, and documents certifying the relationship, e.g. marriage certificate, birth certificate agents, etc. 醫生證明信、當地警方報告、交通票據、收據及協...
Original local police report, purchase receipts, airline’s property irregularity report, photos of damaged property and repair quotation stating cause of damage or repairer’s written confirmation of irreparable property
Documentary proof for the insured having the Compulsory Quarantine by order of the government authority 本人聲明上述資料完整及正確無訛,並無隱瞞任何重要資料。
Signature of Insured (with company chop if applicable)
1. 投保人請以英文正楷填寫及在適當方格內加「 」號。. 任何答案如有更改，敬請在旁簽署。. The proposed Insured has to complete the form in English BLOCK LETTERS and please put a“ ”in the box as appropriate. Any changes to be made should be signed by the proposed Insured. 2. 為保障受保人的利益 ...
Microsoft Word - Claim Form-Home Plan_20200515. 總公司:香港德輔道中 71 號永安集團大廈八樓客戶服務熱線:3187 5100 傳真:3906 9921 HEAD OFFICE: 8/F., Wing On House, 71 Des Voeux Road Central, Hong Kong. Customer Service Hotline: 3187 5100 Fax: 3906 9921.
(2) 因水浸造成，每宗索償為首HK$10,000或損失總額的10% (以較高者為準)。項目 承保範圍 最高賠償額 (HK$) (3) 存放在銀行夜庫中因意外造成的金錢 損失 (4) 於非營業時間，存放在辦公室或商舖 內上鎖的夾萬或保險庫中因意外造成 的金錢損失
Microsoft Word - Claim Form-Public liability as at 2014.3.28. 總公司:香港德輔道中 71 號永安集團大廈八樓電話:2867 0888 傳真:3906 9921 HEAD OFFICE: 8/F., Wing on House, 71 Des Voeux Road Central, Hong Kong. Tel: 2867 0888 Fax: 3906 9921. 公眾責任公眾責任公眾責任公眾責任保險保險保險保險索償表格索 ...
