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Subrogation Form
1. Parties: Identification of the insurer and the insured party, including full legal names and addresses
2. Background: Brief description of the insurance policy, the loss event, and the claim payment that gives rise to the subrogation rights
3. Definitions: Key terms used in the document, including 'Claim', 'Loss Event', 'Recovery Rights', and 'Settlement Amount'
4. Claim Details: Specific details of the insurance claim, including date of loss, nature of damage/loss, and claim reference number
5. Settlement Amount: Statement of the amount paid by the insurer to the insured
6. Transfer of Rights: Explicit transfer of recovery rights from the insured to the insurer
7. Insured's Obligations: Obligations of the insured to assist with recovery efforts and maintain confidentiality
8. Governing Law: Confirmation that Danish law governs the agreement
9. Signatures: Execution blocks for both parties
1. Third Party Details: Information about the responsible third party, if known at the time of signing
2. Partial Subrogation: Required when the insurance payment only covers part of the total loss
3. Document Handover: List of relevant documents being transferred to support the recovery action
4. Warranty of Title: Insured's warranty that they have not assigned the rights to any other party
5. Dispute Resolution: Specific provisions for handling disputes, if desired beyond standard legal remedies
1. Schedule 1 - Claim Documentation: Copies of relevant claim documents, including proof of loss and payment
2. Schedule 2 - Insurance Policy Extract: Relevant sections of the insurance policy relating to the claim
3. Schedule 3 - Loss Assessment Report: If applicable, technical reports or assessments documenting the loss
4. Appendix A - Power of Attorney: If required, authorization for the insurer to act on behalf of the insured
5. Appendix B - Supporting Evidence: Any additional documentation supporting the subrogation claim
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