Business Insurance Claim Template – Free Forms

This business insurance claim template is designed for business owners, risk managers, insurance policyholders, property managers, and companies needing to file claims with their commercial insurance carriers for covered losses or damages. This template is adaptable for various jurisdictions and insurance types, and can be customized to meet specific carrier requirements and policy provisions.

This comprehensive claim form provides the necessary framework for documenting and submitting insurance claims to carriers, ensuring all required information is included for prompt processing and evaluation. It covers essential elements including policyholder and business information, policy number and coverage details, date and time of loss or incident, detailed description of the circumstances and cause of loss, itemized list of damaged or lost property with values, estimated repair or replacement costs, and contact information for witnesses or involved parties. The template also addresses supporting documentation requirements such as photos, videos, receipts, invoices, police reports, or medical records, temporary repairs or mitigation efforts taken, business interruption calculations and lost revenue, and claims adjuster assignment information.

Ideal for filing property damage claims, general liability claims, business interruption losses, equipment breakdown, theft or vandalism, professional liability claims, cyber insurance claims, and workers' compensation incidents, this template helps business owners present organized, complete claim submissions that expedite the adjustment process and maximize recovery. It ensures critical details are documented immediately after incidents and provides a professional format that insurance adjusters expect.