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Online Instruction Form

Please complete as many fields as possible, so we can respond appropriately to your claim/incident. Fields marked * are mandatory

Your Details (as instructing principal)

Name *
Position *
Company *
Postcode *
Tel or Mobile *
Email *

 

Property/Incident Address Details

Company: *
Address: *
Postcode: *
Contact Name: *
Contact Tel 1: *
Contact Tel 2:
Property Type:
Incident Type:
Brief Description of Incident: *
Response: * Urgent Standard    View Service Levels Help Note:

Help note: Response Service Levels

 

Actions Required

Immediate Start: Yes   No   (if Yes, ALL fields in this section MUST be completed)
Authorisation Name :
Position:
I am authorised to approve works on behalf of my Organsiation or Insurer Prinicpals in respect of this instruction:  
Purchase Order No.:
Value of works not to exceed £:

 

Insurance Details

Insurance Company Involvement: Yes   No  (If Yes, please complete as many fields in this section as you can.)
Insurer:
Claim or Policy No. :
Loss Adjuster (if applicable):
Loss Adjuster ref.:
Liability Accepted: * Yes   No
Adequate Insurance Confirmed* Yes   No

 

I am an authorised to instruct ISS restoration in respect to this incident/claim:  Yes
I have read and accept the ISS Standard Terms and Conditions:  Yes
 
 
 

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Case Studies

Read about previous projects where ISS Restoration helped insurers and organisations restore assets, save time and money and get 'back in business' 

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