| Name | Description | Type | Additional information |
|---|---|---|---|
| TimeOfIncident | date |
None. |
|
| DateOfIncident | date |
None. |
|
| IncidentDescription | string |
None. |
|
| NameOfWitness | string |
None. |
|
| DateOfLossDiscovery | date |
None. |
|
| NameOfLossDiscoverer | string |
None. |
|
| DatePoliceWasNotified | date |
None. |
|
| NameOfPoliceStation | string |
None. |
|
| StepsTakenToRecoverLoss | string |
None. |
|
| AmountOfLoss | decimal number |
None. |
|
| NameOfEmployeeInChargeOfLoss | string |
None. |
|
| AddressOfEmployeeInChargeOfLoss | string |
None. |
|
| CapacityOfEmployeeInChargeOfLoss | string |
None. |
|
| YearsOfEmploymentOfEmployeeInChargeOfLoss | integer |
None. |
|
| DoubtIntegrityOfEmployeeInChargeOfLoss | boolean |
None. |
|
| SustainedPreviousLossFromSamePolicy | boolean |
None. |
|
| DescriptionOfPreviousLoss | string |
None. |