{"$schema":"https://json-schema.org/draft/2020-12/schema","title":"Claim notice - Réclamation à l'assureur / Schadeclaim aan verzekeraar (BE)","description":"Belgian notice of a loss by an insured enterprise to its insurer (law of 4 April 2014, art. 74), for a loss of its own or a claim by a third party (liability). Facts only: no evaluation of liability, no promise of indemnity, no policy deadline stated, nothing computed.","type":"object","additionalProperties":false,"required":["insured","insurer","policy","claim","loss","signature"],"properties":{"insured":{"type":"object","description":"the insured: the enterprise (CSA art. 2:20 for a legal person, Code of economic law art. III.25).","additionalProperties":false,"properties":{"name":{"type":"string","description":"Name or company name."},"legal_form":{"type":"string","description":"Legal form: SRL, SA, SC, SComm, SNC, ASBL, AISBL, foundation, or EI (sole trader).","enum":["SRL","SA","SC","SComm","SNC","ASBL","AISBL","foundation","EI"]},"enterprise_number":{"type":"string","description":"Belgian enterprise number (KBO/BCE), written 0123.456.789 (Code of economic law art. III.25, al. 1).","pattern":"^[01][0-9]{3}\\.[0-9]{3}\\.[0-9]{3}$"},"vat_number":{"type":"string","description":"Belgian VAT number, written BE0123456789 (leave out if none).","pattern":"^BE[01][0-9]{9}$"},"address":{"type":"string","description":"Street and number of the seat."},"postal_code":{"type":"string","description":"Postal code of the seat."},"commune":{"type":"string","description":"Municipality of the seat."},"domiciliation":{"type":"string","description":"Domiciliation (Code of economic law art. III.25, al. 2), when it differs from the seat."},"rpm_court":{"type":"string","description":"Court of the seat for the mention 'RPM' (CSA art. 2:20, 5°), as the enterprise writes it."},"in_liquidation":{"type":"boolean","description":"True if the legal person is in liquidation (CSA art. 2:20, 7°)."},"iban":{"type":"string","description":"IBAN of a payment account the enterprise holds (Code of economic law art. III.25, al. 2)."},"email":{"type":"string","description":"E-mail address (CSA art. 2:20, 6°)."},"website":{"type":"string","description":"Website (CSA art. 2:20, 6°)."}},"required":["name","legal_form","enterprise_number","address","postal_code","commune","iban"],"allOf":[{"if":{"properties":{"legal_form":{"enum":["SRL","SA","SC","SComm","SNC","ASBL","AISBL","foundation"]}},"required":["legal_form"]},"then":{"required":["rpm_court"]}}]},"policyholder":{"type":"object","description":"The policyholder, when it is not the insured.","additionalProperties":false,"properties":{"name":{"type":"string","description":"Name of the policyholder."},"legal_form":{"type":"string","description":"Legal form of the policyholder.","enum":["SRL","SA","SC","SComm","SNC","ASBL","AISBL","foundation","EI"]},"enterprise_number":{"type":"string","description":"Enterprise number of the policyholder.","pattern":"^[01][0-9]{3}\\.[0-9]{3}\\.[0-9]{3}$"},"address":{"type":"string","description":"Street and number."},"postal_code":{"type":"string","description":"Postal code."},"commune":{"type":"string","description":"Municipality."}},"required":["name","legal_form","enterprise_number","address","postal_code","commune"]},"insurer":{"type":"object","description":"The insurer (or the broker through whom the notice is made).","additionalProperties":false,"properties":{"name":{"type":"string","description":"Name of the insurer."},"address":{"type":"string","description":"Street and number."},"postal_code":{"type":"string","description":"Postal code."},"commune":{"type":"string","description":"Municipality."},"claims_department":{"type":"string","description":"Claims department."},"broker_name":{"type":"string","description":"Name of the broker."}},"required":["name","address","postal_code","commune"]},"policy":{"type":"object","description":"The policy concerned.","additionalProperties":false,"properties":{"number":{"type":"string","description":"Policy number."},"cover":{"type":"string","description":"Cover concerned."},"contractual_notice_deadline":{"type":"string","description":"Contractual deadline to declare a loss, as the policy states it (never assumed)."}},"required":["number","cover"]},"claim":{"type":"object","description":"Kind of claim.","additionalProperties":false,"properties":{"variant":{"type":"string","description":"property_or_own_loss: fire, theft, breakdown, business interruption; liability_claim: a third party claims against the insured.","enum":["property_or_own_loss","liability_claim"]},"third_party_name":{"type":"string","description":"Name of the third party."},"third_party_claim_date":{"type":"string","description":"Date the third party's claim was received.","format":"date"},"third_party_amount_claimed":{"type":["string","number"],"description":"Amount claimed by the third party, if any."},"third_party_summary":{"type":"string","description":"Summary of the third party's claim."},"no_admission_statement":{"type":"boolean","description":"True to print that the insured makes no admission of liability toward the third party."}},"required":["variant"],"allOf":[{"if":{"properties":{"variant":{"const":"liability_claim"}},"required":["variant"]},"then":{"required":["third_party_name","third_party_claim_date","third_party_summary"]}}]},"loss":{"type":"object","description":"The loss.","additionalProperties":false,"properties":{"date":{"type":"string","description":"Date of the loss.","format":"date"},"time":{"type":"string","description":"Time of the loss."},"place":{"type":"string","description":"Place of the loss."},"description":{"type":"string","description":"Description of the facts (facts only)."},"vat_recoverable":{"type":"boolean","description":"True if VAT is recoverable for the insured."}},"required":["date","place","description"]},"damaged_items":{"type":"array","description":"Damaged property.","items":{"type":"object","additionalProperties":false,"properties":{"description":{"type":"string","description":"Description of the damaged item."},"estimated_amount":{"type":["string","number"],"description":"Estimated amount of the damage to the item."}},"required":["description"]}},"measures_taken":{"type":"array","description":"Measures taken to prevent and mitigate the loss, one per item.","items":{"type":"string"}},"witnesses":{"type":"array","description":"Witnesses and third parties, one per item.","items":{"type":"string"}},"police_report_number":{"type":"string","description":"Police report number."},"other_insurance":{"type":"object","description":"Other insurances covering the same risk.","additionalProperties":false,"properties":{"exists":{"type":"boolean","description":"True if other insurances cover the same risk."},"detail":{"type":"string","description":"Which other insurances."}},"required":["exists"],"allOf":[{"if":{"properties":{"exists":{"const":true}},"required":["exists"]},"then":{"required":["detail"]}}]},"enclosures":{"type":"array","description":"Documents enclosed, one per item.","items":{"type":"string"}},"expert_contact":{"type":"object","description":"Contact for the expert's visit.","additionalProperties":false,"properties":{"name":{"type":"string","description":"Name of the contact for the expert's visit."},"phone":{"type":"string","description":"Telephone number of the contact."}}},"acknowledgment_requested":{"type":"boolean","description":"True to print the request for acknowledgment."},"dispatch":{"type":"object","description":"How and when the notice is sent.","additionalProperties":false,"properties":{"mode":{"type":"string","description":"Means of dispatch.","enum":["registered_letter","registered_email","email","hand_delivery_with_receipt","other"]},"date":{"type":"string","description":"Date of dispatch.","format":"date"}}},"signature":{"type":"object","description":"Place, date and signatory.","additionalProperties":false,"properties":{"place":{"type":"string","description":"Place of signature."},"date":{"type":"string","description":"Date of the notice.","format":"date"},"signatory_name":{"type":"string","description":"Name of the signatory."},"signatory_capacity":{"type":"string","description":"Capacity of the signatory."}},"required":["place","date","signatory_name","signatory_capacity"]}}}