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RENEWABLE GUARD INSURANCE COVERAGE

FILE A CLAIM

Claim Details

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Please describe the circumstances and, if known, cause(s) of the loss(es). Please attach photos if possible.
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    Please enter the approximate value of the claim.
    Please describe the mitigation measures you have taken.

    Contact Details at Site

    Please provide the name, phone number, and email address of appropriate contact person at site.

    Contact Name

    This form was completed by:
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