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General
Reply
Notes
History
Claim Files
▶
Policy & Account Details
Client
Branch
Policy
Insurer
Policy Type
Policy No
Policy Start Date
Policy Expiry Date
Account Manager
Insured Contact Details
Contact Name
Contact Number
Contact Email
Loss / Incident Details
Nature of Loss
*
Required. Min 3 characters.
Loss Location
*
Loss Location is required.
Loss Date
*
Loss Date is required.
Loss Estimate
Must be a valid number.
Loss Description
<?= $td['loss_description'] ?? '' ?>
Loss Description is required when uploading an asset file.
Intimation & Claim Reference
Intimation Recd Date
Intimated to Insurer Date
Nhance Claim Ref No
Max 100 characters.
Claim Number (Insurer)
Only letters, numbers, /, - allowed.
Status & Tracking
Status
*
>
Surveyor File Ref No
Priority
Select Priority
$v): ?>
>
Closure Remark
<?= esc($td['closure_remark'] ?? '') ?>
Append to existing
Asset Details
Asset ID/Code
Serial No
Vehicle No
Description
1): ?>
Asset ID/Code
Serial No
Vehicle No
Description
Add More Asset
OR
Upload Asset File
(Excel or PDF)
Only Excel (.xlsx, .xls, .csv) or PDF (.pdf) files allowed.
Current file:
Please fill at least one asset row or upload an asset file.
Surveyor Details
Surveyor Name
Contact Person
Contact Number
10-15 digits, numeric only.
Email
Invalid email format.
LOR
<?= $td['lor'] ?? '' ?>
Surveyor Remarks
<?= $td['surveyor_remarks'] ?? '' ?>
Documents & Attachments
Google Drive Links
<?= $td['google_drive_links'] ?? '' ?>
Documents Required
<?= $td['documents_required'] ?? '' ?>
Documents Submitted
<?= $td['documents_submitted'] ?? '' ?>
Pending Documents
<?= $td['pending_documents'] ?? '' ?>
ETA for Documents
*/ ?>
Settlement Details
Loss Assessed Value
Must be a valid number.
Settled Amount
Must be a valid number.
Settlement UTR
Max 100 characters.
Update Claim
To
Subject
PlaceHolders
$value): ?>
Send Mail
Add Notes
Save
Label
Change
User
Date/Time
' . $row['new_value'] ?>
IR Documents
Freeze User Actions
Save
Document Name
Status
Action
File Upload
+ Add
Save
File List
S.No
Docs Name
File Name
Action
Edit URL
×
Document Name
URL
User
format('j F Y h:i A') ?>
Staff
format('j F Y h:i A') ?>
