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Non-Motor Claims

MARINE

  • Completed Claim Form
  • Original Bill of Lading
  • Original Commercial Invoice
  • Original Packing List
  • Certificate of Origin
  • Short-landing Certificate issued by port authority (in case of short delivery of cargo)
  • Notice of Loss to the carriers/suppliers holding them responsible for the loss/damage to cargo which should be copied to Walaa.
  • Claim statement showing the value of damaged item

MARINE LAND TRANSIT

  • Completed Claim Form
  • Original Police Report/Krooki (In case of road accident)
  • Original way Bill
  • Original Delivery Note duly signed by consignee with necessary remarks
  • Commercial Invoice
  • List of damaged items with values against each
  • Supplier’s Invoices to substantiate the loss
  • Vehicle Registration Copy
  • Driver’s License and Iqama copy
  • Statement from the Driver
  • In case third party’s 100% mistake:
  • Istamara copy of T.P’s vehicle
  • Copy of T.P’s driver’s license/ iqama
  • Insurance certificate or bail bond agreement issued by T.P’s Insurers.

PROPERTY

  • Completed Claim Form
  • Original Police report. (In case of theft incident)
  • Original Civil Defense report (in case of fire incident)
  • List of damaged/stolen items with values against each
  • Repair / Replacement quotations
  • Statement from the Manager / Supervisor about the incident.
  • Original Repair / replacement Invoice
  • Notice of loss to neighbors (In case of negligence which holds neighbors liable for the loss/damage to property)

WORKMEN'S COMPENSATION

  • Completed Claim Form
  • Incident Report
  • Original Police report
  • GOSI recovery details (If, policy covers for Excess of GOSI)
  • Medical report
  • Death Certificate (If death cover)
  • Copy of Iqama / residence card
  • Copy of salary slip
  • Copy of Employee contract
  • Original Invoices for Medical Expenses

ENGINEERING

  • Completed Claim Form
  • Detailed incident / Technical Report
  • The original police report
  • Registration copy
  • Operator’s License & his iqama copy
  • Repair / replacement quotation
  • Final Repair Invoice

FIDELITY GUARANTEE

  • Completed Claim Form
  • Statement from the Manager about the incident
  • Original Police report.
  • All accounting documents related to the claim,
  • Copy of Iqama.
  • Copy of passport (full pages).
  • Copy of employment contract.
  • ESB due to employee
  • Last three months salary slip
  • Immediate notice of employee’s absconding to Passport office and respective Embassy with copy to Insurance company

MONEY(CASH-IN-SAFE AND CASH-IN-TRANSIT)

  • Completed Claim Form
  • Original Police report
  • Statement from Manager about the incident
  • Amount that had been stolen
  • All financial Invoices evidencing the value of stolen items

LIABILITY

  • Completed Claim Form
  • Original Police report
  • Statement from the Insured driver / operator who made the accident
  • Iqama Copy
  • Driving License
  • Repair Quotation & Invoice for the Third party property
  • Payment proof to third party in settlement of his claim.

PERSONAL ACCIDENT

  • Completed Claim Form
  • Original Police report
  • Medical report
  • Death Certificate
  • Copy of the passport
  • Copy of Iqama / residence card
  • Copy of salary slip
  • Copy of Employee contract
  • Original Invoices for repatriation expenses

CONTRACTOR'S ALL RISKS/ERECTION ALL RISKS

  • Completed Claim Form
  • Detailed Incident Report
  • Notice of Loss from Third Party holding Insured liable for the damage of property
  • Repair / replacement quotation
  • Original Police report
  • Civil Defense Report in case of fire incident
  • Photographs of the location at the time of incident
  • Documents request for Material Damage to Insured’s Project is depending upon nature of loss

MARINE HULL

  • Incident Report describing the nature and circumstances of loss
  • Contact Details of Insured’s representative
  • Location details of the vessel to appoint Loss Adjuster
  • Documents/information to be provided as per Loss Adjuster’s requirement

MEDICAL MALPRACTICE

  • Detailed report describing the nature of complaint received from patient
  • Original Verdict issued by Medical Committee, MOH duly signed/stamped
  • Medical report
  • Copy of Doctor’s iqama
  • Copy of professional license issued by MOH
  • Service Certificate from the practicing hospital
  • Copy of Medical Malpractice Insurance policy issued by Walaa
  • Copy of correspondence exchanged between claimant/hospital/MOH
  • Completed Claim Form

TRAVEL

  • Incident Report describing the circumstances of loss during travel
  • Copy of relevant pages of the passport showing visa stamp and emigration exit from KSA and arrival at final destination
  • Original Medical Report
  • Original Medical Invoices along with Doctor’s prescription
  • Iqama/I.D. Copy of Insured
  • Copy of Air-ticket