Common use of REPORTING LOSSES Clause in Contracts

REPORTING LOSSES. 1. The State Self-Insurance Claim Report Form should be used for all property losses. It is an all-purpose, self-insured loss and lawsuit report form. Do not use for workers’ compensation and inmate injury claims. The documentation we will require for claims is:

REPORTING LOSSES. 1. The State Self-Insurance Claim Report Form should be used for all property equipment breakdown losses. It is an all-purpose, self-insured loss and lawsuit report form. Do not use for workersWorkers’ compensation Compensation and inmate injury claimsInmate Injury Claims. The documentation we will require for claims is:

REPORTING LOSSES. 1. The State Self-Insurance Claim Report Form should be used for all property personal property/ Exceptional Items losses. It is an all-purpose, self-insured loss and lawsuit report form. Do not use for workersWorkers’ compensation Compensation and inmate injury claimsInmate Injury Claims. The documentation we will require for claims isAttach supporting information, such as:

REPORTING LOSSES. 1. The State Self-Insurance Claim Report Form should be used for all property losses. It is an all-purpose, self-insured loss and lawsuit report form. Do not use for workersWorkers’ compensation Compensation and inmate injury claimsInmate Injury Claims. The documentation we will require for claims isAttach supporting documentation, such as: