Motor Car

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INSURED	THIRD PARTY (TP)	RECOVERY
A. PARTIAL LOSS/TOTAL LOSS Claimant’s Incident Report (UCPB GEN form to be accomplished by the Insured) Pictures of Damage Police Report and/or Driver’s Affidavit Registration Certificate and OR Driver’s License and OR Stencils of Motor and Serial No. Copy of Insurance Policy Copy of OR or Proof of Premium Payment	A. VEHICLE TP Claimant Repair Estimate Pictures of Damage Certificate of No Claim or CTPL Policy Registration Certificate and OR Insured Registration Certificate and OR Driver’s License and OR Driver’s Affidavit	A. FOR RECOVERY PURPOSES NOTE: If Insured was reportedly bumped by a third party, Insured has to provide the following documents of party at fault: Driver’s License and OR Registration Certificate and OR Copy of Insurance Policy Copy of TIN and SSS ID Contact Number
B. CARNAP Certificate of Non-Recovery Alarm Sheet Complaint Sheet Police Report Registration Certificate and OR Driver’s License and OR Copy of Policy Copy of OR of Premium Payment	B. PROPERTY DAMAGE TP Claimant Quotation of Repair Estimate Pictures of Damage Insured Registration Certificate and OR Driver’s License and OR Driver’s Affidavit	B. RECOVERY OF OTHER INSURANCE COMPANY NOTE: Insurance company has to submit their claim documents: Release of Claim Payment Voucher Policy of Adverse Party Registration Certificate and OR Driver’s License and OR Pictures of Damage Repair Estimate / Computation of Liability Letter of Authority
C. BODILY INJURY Note: In addition to item A above Original Medical Receipts /OR Medical Certificate	C. BODILY INJURY TP Claimant Original Medical Receipts /OR Medical Certificate Insured Registration Certificate and OR Driver’s License and OR Driver’s Affidavit

INSURED

THIRD PARTY (TP)

RECOVERY

A. PARTIAL LOSS/TOTAL LOSS

Claimant’s Incident Report (UCPB GEN form to be accomplished by the Insured)
Pictures of Damage
Police Report and/or Driver’s
Affidavit
Registration Certificate and OR
Driver’s License and OR
Stencils of Motor and Serial No.
Copy of Insurance Policy
Copy of OR or Proof of Premium Payment

A. VEHICLE
TP Claimant

Repair Estimate
Pictures of Damage
Certificate of No Claim or CTPL Policy
Registration Certificate and OR

Insured

Registration Certificate and OR
Driver’s License and OR
Driver’s Affidavit

A. FOR RECOVERY PURPOSES
NOTE: If Insured was reportedly bumped by a third party, Insured has to provide the following documents of party at fault:

Driver’s License and OR
Registration Certificate and OR
Copy of Insurance Policy
Copy of TIN and SSS ID
Contact Number

B. CARNAP

Certificate of Non-Recovery
Alarm Sheet
Complaint Sheet
Police Report
Registration Certificate and OR
Driver’s License and OR
Copy of Policy
Copy of OR of Premium Payment

B. PROPERTY DAMAGE
TP Claimant

Quotation of Repair Estimate
Pictures of Damage

Insured

Registration Certificate and OR
Driver’s License and OR
Driver’s Affidavit

B. RECOVERY OF OTHER INSURANCE COMPANY
NOTE: Insurance company has to submit their claim documents:

Release of Claim
Payment Voucher
Policy of Adverse Party
Registration Certificate and OR
Driver’s License and OR
Pictures of Damage
Repair Estimate / Computation of Liability
Letter of Authority

C. BODILY INJURY
Note: In addition to item A above

Original Medical Receipts /OR
Medical Certificate

C. BODILY INJURY
TP Claimant

Original Medical Receipts /OR
Medical Certificate

Insured

Registration Certificate and OR
Driver’s License and OR
Driver’s Affidavit

Fire and Allied Perils

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BASIC DOCUMENTS	ADDITIONAL DOCUMENTS	OPTIONAL DOCUMENTS
Fire Department Report / Affidavit of Loss Photographs Detailed repair estimate(for building) Detailed inventory of all stocks and property risk whether damaged or undamaged (for stocks/FFF/contents) Adjuster’s Report, if assigned to adjuster	BUILDING Declaration of Real Property Floor Plan / Construction Plan	BUILDING Building Permit Lease Contract (if lot belongs to other than insured) Transfer Certificate of Title Appraisal Report (if any)
Stocks / FFF / Contents Purchase / Sales Invoice If assigned to adjuster Sworn Statement and Proof of Loss Non-waiver Agreement	Stocks / FFF / Contents Income Tax Return / Financial Statements Business License Registration of Business
	Household Furniture, Fixture, Fittings and Personal Effects, Machinery, Equipment andAccessories Appraisal Report

BASIC DOCUMENTS

ADDITIONAL DOCUMENTS

OPTIONAL DOCUMENTS

Fire Department Report / Affidavit of Loss
Photographs
Detailed repair estimate(for building)
Detailed inventory of all stocks and property risk whether damaged or undamaged (for stocks/FFF/contents)
Adjuster’s Report, if assigned to adjuster

BUILDING

Declaration of Real Property
Floor Plan / Construction Plan

BUILDING

Building Permit
Lease Contract (if lot belongs to other than insured)
Transfer Certificate of Title
Appraisal Report (if any)

Stocks / FFF / Contents

Purchase / Sales Invoice

If assigned to adjuster

Sworn Statement and Proof of Loss
Non-waiver Agreement

Stocks / FFF / Contents

Income Tax Return / Financial Statements
Business License
Registration of Business

Household Furniture, Fixture, Fittings and Personal Effects, Machinery, Equipment andAccessories

Appraisal Report

Marine

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CARGO	IN LAND / TRUCK	HULL
BASIC DOCUMENTS Original &/or duplicate copy of Bill of Lading Original &/or duplicate copy of Invoice Formal claim against UCPB Gen Survey Report, if assigned to adjuster	BASIC DOCUMENTS Police Report / Affidavit of Loss Invoice Registration Certificate and Official Receipt Driver’s License and Official Receipt Adjuster’s Report, if assigned to adjuster	BASIC DOCUMENTS Marine Note of Protest Repair estimates Photographs Survey Report
OPTIONAL DOCUMENTS Original copy of the Policy / Risk Note Original copy of Delivery Receipt Duly receipted formal claim against vessel, arrastre, and broker Original &/or duplicate copy of Airway Bill Photographs	OPTIONAL DOCUMENTS Assured’s formal claim against UCPB Gen Photographs Waybill, Delivery Receipt	OPTIONAL DOCUMENTS Policy Gen. Ave. Adjuster’s Report Master Oath of Safe departure Coastwise License

Fidelity

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BASIC DOCUMENTS	OPTIONAL DOCUMENTS
Audit Report showing discovery date & breakdown of loss Documents in support of Audit Report such as official receipts, invoices, sales & collection reports Adjuster’s Report, if assigned to adjuster SSS / BIR / NBI / Personal Data Sheet (201 File) / Driver’s License No. of the Employee	Company procedures as to duties of employees Action was taken to recover loss such as filing of criminal case Duties and responsibilities of the involved employee

Engineering

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BASIC DOCUMENTS	OPTIONAL DOCUMENTS
Police Report / Affidavit of Loss Photographs Estimate &/or Actual Repair Cost Adjuster’s Report, if assigned to adjuster	Invoices &/or receipts Technician’s Report

Miscellaneous Casualty

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LIABILITY / PERSONAL ACCIDENT / HEALTH
BASIC DOCUMENTS	ADDITIONAL DOCUMENTS	OPTIONAL DOCUMENTS
Property Damage Photographs Detailed Estimate Police Report / Affidavit of Loss Adjuster’s Report, if assigned to adjuster	Property Damage Repair invoice (if damage is already repaired) Certificate of No Claim (for damaged vehicle
Bodily Injury / Illness or Health / Death Claim Official Receipt of medical expenses Death certificate (for Death Claim) Police Report / Affidavit of Loss Birth Certificate (for Death Claim)	Bodily Injury / Illness or Health / Death Claim Medical Certificate Post Mortem Certificate	Bodily Injury / Illness or Health / Death Claim Statement of Account (if hospitalized) Doctor’s prescription Admitting history & Physical Examination Vital signs chart Nurse’s daily progress notes

BURGLARY / ROBBERY / HOLD-UP
BASIC DOCUMENTS	OPTIONAL DOCUMENTS
Police Report / Affidavit of Loss Audit Report & Breakdown of Loss Adjuster’s Report, if assigned to adjuster	Sales Invoice / Purchase Invoice Photos of forcible entry Sales & Collection Report Inventory Report / Book of Accounts

ALL RISKS / EQUIPMENT FLOATER
BASIC DOCUMENTS	OPTIONAL DOCUMENTS
Police Report / Affidavit of Loss Price Quotation / Repair Estimates Adjuster’s Report, if assigned to adjuster	Certificate of Registration Photographs Disconnection Notice Memorandum of Agreement

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