My house is leaking rain, and the property is delayed. I want to make a claim on the property. How to write an application in this field?

Please fill in the following columns:

Electronic policy number:

Name, gender, age and occupation of the accident victim.

Name of applicant: fixed telephone, mobile phone and email.

Home detailed address

Name of the insured: fixed telephone number, mobile telephone number and e-mail number.

Home detailed address

Accident course: (including: time, place, cause of accident, accident status, etc. , can be attached)

Name and ID number of the applicant

contact address

Contact telephone number and e-mail address

Applicant's identity □ Insured □ Designated beneficiary □ Legal beneficiary □ Guardian of beneficiary

apply for a project

Online insurance for payment is limited to insurance money transfer, and the following account is the account of the insured himself.

Account name, bank account number

Statement and authorization of the obligee:

1. The contents in my claim application are detailed and true. If there are any mistakes or omissions, I am willing to bear the corresponding responsibilities;

2. The insurance company that agrees to accept the claim should read, extract and copy the information related to this claim from medical institutions and other relevant units and individuals, and I am willing to bear all the legal consequences arising therefrom.

Applicant (my signature): YY.