PROPOSAL FORM
EMPLOYER’S LIABILITY (COMMON LAW) INSURANCE

Summary of Cover
Indemnity to the employer against legal liability under common law for damages and claimants costs and expenses of litigation
in respect of awards for bodily injury by accident or disease caused to employees during the period of insurance and arising out
of and in the course of that employment by the Employer in the Business and directly related to breach of common law or
statutory duty by the Employer and in addition indemnity in respect of all costs and expenses incurred by the Employer with the
Company’s written consent subject to the terms, jurisdiction clause, exceptions and warranties of the Company’s Employers
Liability (Common Law) Policy.

Employees must provide proof of negligence

Claims Procedure

  • Duly completed claim form
  • Third Party Correspondences – Letters from Lawyers unanswered
  • Summons
  • Policy Excess Kshs. 25,000/-

download WIBA Claim Form

download Employers liability Insurance Proposal

 

 

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