Liability and Other Special Risks Claims

1. Policy Number
2. Contact details of Insured
3. Circumstance / Letter of Demand / Summons
   1. If a Circumstance which may lead to a claim / Regulatory Body complaint:
      1. Detailed description of the matter from Insured which should include at least the following:
         • Date of Incident
         • Brief description of incident
         • Date of first demand / correspondence indicating the events may lead to a claim
   2. If a Letter of Demand
      1. Copy of Letter of Demand together with all documentation received from the third party.
      2. Insured to submit a detailed description of the matter which should include at least the following:
         • Date of Incident
         • Brief description of incident
         • Date of first demand / correspondence indicating the events may lead to a claim
      3. Statement from the insured commenting on the content / allegations in Letter of Demand.
   3. If a Legal Summons is received
      1. Copy of summons with annexures if available.
      2. Confirmation of exact date summons was served on the Insured.
      3. Copies of all relevant correspondence to the matter including date of first demand / correspondence indicating the events that may have led to a claim
   4. Confirmation of current status of the matter.
   5. Copies of any other relevant documentation in Insured’s possession.

NB: Please note the requested information is not an exhaustive list and additional information may be requested on a case by case basis.