Risk
Management and Insurance Quick Reference Guide - Incident
Reporting
INCIDENT
REPORT
- FILL OUT AT SCENE OF INCIDENT:
- DO NOT ADMIT LIABILITY:
Make no statements regarding fault
or payment of any bills.
- IMMEDIATELY
fill out this report, fax to:
- Suzy Bryant
Arthur J. Gallagher Insurance Brokers
FAX #: (415) 536-4036
Phone: (800) 877-9300 x. 8437
- IN CASE OF A SERIOUS INCIDENT,
please call Doug Adel at the Chancery Office immediately
at (209) 546-7613 or fax (209) 941-9722 or Ken Urrutia at
Arthur J Gallagher Insurance Brokers (415) 536-8476.
- EXAMINE
the accident scene. Note conditions such as debris, moisture,
lighting, equipment involved, etc.
- DO NOT DISCUSS THE INCIDENT except with Church Officials,
Police, or your insurance representative.
- KEEP ANY EVIDENCE for claims adjuster’s review.
- INCIDENT REPORT
All documents require Adobe Acrobat Reader --
Back to Risk Management and
Insurance Quick Reference Guide - Table of Contents
Back to Administrators'
Resources: Finance
Last Update February 26, 2008 |
