VIEWS: 4 PAGES: 2 POSTED ON: 11/18/2012
Accident liability claim form Please read these notes before completing and returning the enclosed liability form and return to the address below. Please return your form and any enclosures (see below) as soon as possible, retaining a copy for your records. Notes 1 £50.00 excess applies to this policy on the minded children’s property (items needed for childminding activities) clothes, buggies, toys and third party property. The £50.00 will be deducted from the payment cheque to the claimant. 2 Please enclose a copy of your Ofsted/CSSIW Registration Certificate. Please do not send the original. 3 Please ensure you include your NCMA membership number which can be found on your membership card. 4 Ensure that you state clearly the total amount you wish to claim. 4.a Please attach a letter from the third party (the person who is holding you responsible for the damage or incident), stating clearly that they are holding you responsible. 4.b If third party property is damaged, please enclose an estimate, receipt or account from a reputable repairer. 5 The total life of the insurance policy is 21 years and 4 months to enable a child to make a claim against the policy in the future. 6 Please note: There is no cover under the policy for loss of, or damage to, the childminder’s own property or in the custody and control of the childminder. There is also no cover under the policy for damage to another motor vehicle involving your own vehicle. Please check that your other relevant insurance policies cover you for your childminding activities. You may find it useful to keep copies for your files in case the paperwork is lost in the post. NCMA Membership Services Royal Court 81 Tweedy Road Bromley Kent BR1 1TG Accident liability report form Name of Childminder Public Liability Insurance Policy No: RTT161353 Address, including postcode Telephone no Email address NCMA membership no Details of Incident: Place Date Time Child’s full name Date of birth Child’s age at time of accident Child’s address, including postcode Parent(s) full name Please describe the circumstances Please continue on the back if you print this document to complete it, or attach a sketch as necessary. Has a claim been made against you? Yes No If yes, please enclose copies of any correspondence received. The total life of the insurance policy is 21 years and 4 months to enable a child to make a claim against the policy in the future. No admission of liability, or payment or promise of payment should be made Signed…………………………………………….... Date……………………….…….
Pages to are hidden for
"Please read the list below before returning your Accident Report"Please download to view full document