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Damage report

Boat damage report, to fill in on the spot

Two A4 pages for the moment when something has happened. Sheet 1 takes the policy and the person reporting, the incident, what happened in your own words, the extent of the damage and a sketch; sheet 2 the parties involved, the witnesses and the authorities, the immediate measures to tick off and the signatures. Once filled in, the form is the basis for reporting the claim online in “mein NAMMERT”.

Report a claim Contact

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Only the sheet itself is printed, without the navigation and the footer. This report is a working aid and does not replace the notification of the claim.

Boat damage report

Fill it in on the spot, the basis for reporting the claim online in “mein NAMMERT”

NAMMERTNAMMERT

Claims line

+49 3375 566 75 05
+49 3375 29 12 77

01Policy and person reporting

Policyholder

Policy number

Claim number (if already issued)

Telephone

E-mail

Boat name / registration

02The incident

Date

Time

Place / position (harbour, coordinates)

Wind / sea / visibility

Engine setting / speed

Person at the helm (name, licence)

Type of damage: Grounding Collision Storm/hail Fire Theft Vandalism Sinking/capsize Engine Personal injury

03What happened, in your own words

04Extent of the damage and sketch

Parts / areas affected

Water ingress? Is the bilge pump working?

Anything wrong with the drive / rudder?

Estimated cost of the damage

Sketch (positions, courses, parties involved)

Sheet 1 of 2, continued on sheet 2 with section 05. NAMMERT Assekuradeur GmbH, Karl-Marx-Straße 4, 15711 Königs Wusterhausen, Germany · Claims: +49 3375 566 75 05 · info@nammert.com.

Boat damage report, continued

Sheet 2 of 2

05Parties involved, witnesses, authorities

Other party: name, boat, insurer

Witness 1: name, contact

Witness 2: name, contact

Police / water police: station, file no.

Harbour master / marina

Salvage / towing service

06Immediate measures and evidence

Everybody safe, lifejackets on
Damage limited (leak, boat secured)
Photographs taken (before clearing up)
Reported to the police (after a theft)
Estimate obtained from the yard
Claim entered in “mein NAMMERT”

What happens next

Report the damage online in “mein NAMMERT” under “Schaden melden” (report a claim). You are given a claim number straight away. As an Assekuradeur, an underwriting agency with wide authority, we assess and settle claims ourselves, which shortens the way. Please have repairs carried out in full only once they have been agreed with us (emergency measures excepted), so that the damage can still be assessed. Salvage and wreck removal are included in every hull tariff, in the Premium tariff up to 2.5 million euros.

Place, date

Signature of the person at the helm / policyholder

NAMMERT Assekuradeur GmbH, Karl-Marx-Straße 4, 15711 Königs Wusterhausen, Germany · Claims: +49 3375 566 75 05 · info@nammert.com. This report is a working aid and does not replace the notification of the claim. Only your policy wording is binding.