Free Markdown template

Incident & Potential Claim Documentation Checklist

Capture facts, photos, witnesses, communications, mitigation, receipts, and insurer reporting without rewriting the story after the event.

Free to use · Educational workflow tool · U.S. small-business focus

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Use the file in your normal workflow.

Save a fresh copy for each client, renewal, incident, or review cycle so the original template stays clean.

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Who this is built for

Client-facing service businesses documenting a possible claim.

How to use it

  1. Document facts as soon as practical.
  2. Preserve original photos and messages.
  3. Follow the policy’s reporting and consent instructions before promising payment.

What the template captures

Date/timeLocationPeople involvedWhat happenedPhotos/videoWitnessesImmediate mitigationClient communicationsInsurer noticeFollow-up

What this template cannot prove

A worksheet or email template cannot create insurance coverage, establish legal worker status, modify an insurance policy, or guarantee that a contract requirement has been satisfied. When a field depends on coverage, confirm the policy or endorsement. When it depends on state law, use the responsible state authority.

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Build a reusable insurance admin system

Pair this document with the other contract, renewal, incident, equipment, and cyber worksheets.

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