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Please BLUE information must be filled completely

 

Use the form below to get in touch with us or click here to e-mail our Loss Adjusters. 
Professionally, we are ready to handle your insurance services and other insurance investigations, 
Shipment & Cargo Clearing in any W/Africa ports.  A full and confidential report will be sent to you.

LETTER OF INSTRUCTION

(A)  Select the services you require, and click PROCESS below when finished.

(1)  Insurance Loss Adjusting

(2)    Engineering Survey - Machinery & Boilers

(3)  Pre-Insurance Risk Survey
           Fire
           Burglary
           Combined Fire, Consequential & Burglary
           None                       

(4)    Marine H&M Inspection and Valuation

(5)    Marine H&M Inspection and Average Adjustment

(6)    Marine Cargo Superintending, Survey and Adjustment

(7)    Risk Management

(8)    Recovery Services

SECTION B

Contact Information

Person's name to be contacted: 
Position:
Telephone and
Fax:
E-mail:



  

Insured Name:
Street No. & Address:
Local/City:
State
and Code/Zip:
Telephone and Fax: 
E-mail:




  
  

SECTION C

Other Information

Policy No: 
Claim No. (If any)


Risk Address: (If different from above)

Handling Brokers

Info:

Broker Name:
Broker Address:
Broker Telephone:
Fax:
Broker E-mail:



  

Details of Cover:

Details of Loss:

Additional Information/Advice:


 NOTE:
(1)    Copies of the policy documents and supporting documents
        should either be Faxed or sent by post to us.  (See our
CONTACT
        for further Info.
)

(2)    For Cargo Superintending Assignment in any West African 
         Port(s).  Please fax the Under-listed documents to our office 
         prior to the arrival of the conveying vessel in Port Delivery:

          (a)    Photocopy of the Supplier Invoice
          (b)    Photocopy of the Bill of lading to identify  the ETA
                   of  the vessel and her handling agent at port of delivery.
          (c)    Photocopy of the packing list.
          (d)    Name & Address of the consignee & clearing Agent.