Liability Claim Form

Liability Claim Form

Public Liability covers your business for legal costs and compensation costs that you may have to pay if you are found liable to someone because you caused death, injury, loss or damage to their property or economic loss due to negligence.

Product Liability covers businesses that supply, deliver or sell goods, including services or repairs against claims of goods/services causing damage injury or death. 

Please note that this claim notification ONLY. We may still require an insurer claim form to be completed before we can proceed.

Liability Insurance Claim

  • If an injury is involved, provide the necessary assistance to the injured party
  • Obtain the names, address and phone numbers of involved parties along with a description of what occurred
  • Do not admit fault or responsibility. No admission of liability should be made to any party in any form whatsoever
  • All correspondence, writs, summonses and demands should be sent to your Insurance Advisernet Adviser immediately upon receipt
  • As soon as practicable contact your Insurance Advisernet Adviser.
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*Date of incident
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Liability Insurance Claim

  • If an injury is involved, provide the necessary assistance to the injured party
  • Obtain the names, address and phone numbers of involved parties along with a description of what occurred
  • Do not admit fault or responsibility. No admission of liability should be made to any party in any form whatsoever
  • All correspondence, writs, summonses and demands should be sent to your Insurance Advisernet Adviser immediately upon receipt
  • As soon as practicable contact your Insurance Advisernet Adviser.