Wholesale Insurance Claim
I. Claimant Information
Name: | [Your Name] |
Business Name: | [Your Company Name] |
Address: | [Your Company Address] |
Phone Number: | [Your Company Number] |
Email Address: | [Your Email] |
II. Policy Information
Policy Number: | WHL-789456123 |
Policy Type: | Comprehensive Wholesale Insurance |
Insurance Provider: | Reliable Insurance Co. |
III. Description of Loss
On August 1st, 2053, a significant inventory loss occurred due to a storage facility malfunction. The facility's temperature control systems failed, causing the stored perishable goods to spoil. Consequently, a substantial portion of our stock, mainly comprising dairy products and fresh produce, was rendered unsellable.
IV. Evidence
Photographs of damaged inventory dated August 2nd, 2053.
Maintenance report detailing the temperature control system malfunction.
Inventory audit conducted post-incident.
Correspondence with the refrigeration system maintenance company.
V. Financial Impact
Item | Quantity | Unit Cost | Total Cost |
|---|
Dairy Products | 300 units | $10 | $3000 |
Fresh Produce | 500 units | $8 | $4000 |
Total Financial Impact: | | | $7000 |
VI. Claim Amount
The total claim amount requested: $7000
This total reflects the sum of losses incurred from both dairy products and fresh produce that were adversely affected by the storage facility's temperature control malfunction.
VII. Declaration and Signature
I, [Your Name], declare that the information provided in this claim is accurate and complete to the best of my knowledge. I understand that any false information or misrepresentation may result in the denial of this claim and possible legal consequences.
[Your Name]
[Your Company Name]
[Date Signed]
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