Name and Surname:
 
   
  Address:
 
   
  Date:
 
   
  Claimno:
 
   
  Insurance Co:
 
   
   
  This clearance certificate must only be signed when all cleaning or repairs undertaken have been completed to your satisfaction. Please do not sign the clearance prior to commencement or completion of the work.
   
  Was our service quick, friendly and courteous?
     
  Yes
  No
     
  Were our personel helpful at all times?
     
  Yes
  No
     
  Was the claim and our service procedure explained to you?
     
  Yes
  No
     
  Were you informed of the progress of the claim at all times?
     
  Yes
  No
     
  Were you satisfied with the way it was packaged/wrapped?
     
  Yes
  No
     
  Can do anything differently to improve our service?
     
  Yes
  No
     
  If you answered NO to any of the above questions, please let us have your comments below.
   
 
   
 
Security Check: