EIB 07-01A, Sectio Electronic Claim Filing System, Short-Term Insurance

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Short-term Multi-buyer Policy Claim
Section B - Policy Information

Claim Control No.:CAP0001091 (Draft)

( * An asterisk denotes that a field is a required entry)
What is your policy number?

* ENB

What is the effective date of the policy?

* Month

Do you have an SBCL or DCL?

*

What is the effective date of the SBCL or DCL?

* Month

What is the approved amount of the SBCL or DCL?

*

What is the DCL amount established under prior trade
experience?

*

SBCL

Day

, Year

DCL
Day

, Year

https://tpccapps.exim.gov/apps/ecfs/ecfsprod.nsf/0/57E2429A5AE84379852572A4004D4...

3/20/2007