Personal Effects Baggage
Claim Information
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- PEB Statement of Loss
- Itemized receipts or estimates giving model
numbers and type of currency
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Police report whenever possible. (If not possible,
please explain)
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If loss occurred while traveling on an airline or
other public transportation, copies of your correspondence
with them and/or copies of any payments made
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If auto accident, indicate payment from auto insurance
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Repair estimates
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- Date of loss
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Did all items belong to the insured? If not, please
explain
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Did this incident occur while on business?
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Signature of the insured
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Completed forms with documentation should
be sent to:
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Adventist Risk Mangement Inc.
Attn: Mary Cross, Claims
12501 Old Columbia Pike
Silver Spring, MD 20904 |
Phone: (301) 680-6877
Fax: (301) 680-6878
E-mail: mcross@adventistrisk.org |