房屋内容索赔表
请耐心地填写这个问卷，提供最详细和正确的资料，我们才可以完善地处理您的索赔
House Contents
Kindly complete this form and provide detailed and accurate information, so that we can handle your claim effectively
填写表格前，请先准备好以下资料 Please have the following ready before completing the form
事故细节 Info about the incident
您的个人资料 Info about the insured
汽车损毁照片 Photos of all damages
受保人的资料 Info about the insured
车主／投保人／投保公司的英文姓名 Full name of owner / insured
*
您的联络号码 Your contact number
*
-
您的电邮地址 Your email address
*
example@example.com
您的ID/护照号码 Your ID/passport number
上一页 Back
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事故资料 Info about the incident
事发日期 Date of the incident
*
-
Month
-
Day
Year
Date
事发地點/ 地址 Place of the incident / Address
*
发生了什么以及丢失/损坏物品清单 Detailed description of the incident and list items lost /damaged
*
您是否更换了丢失的物品 Did you replace lost/ damaged item
是的 Yes
不 No
照片 Photos
其他相关资料（例如维修报价） Other relevant info (e.g. repair invoice)
上载多个档案 Upload multiple files
Cancel
of
宣言和签名 Declaration & signature
我在此确认以上资料正确无误，如果还有其他对保障有影响的额外资料，我会尽快提供给我的保险顾问和公司。I hereby declare the foregoing particular to be true in every aspect. If there are additional information that may have a material impact on the policy, I will inform my advisor and insurer as soon as possible
受保人的签名 Signature by the insured
*
提交 Submit
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