{"policy_holder":{"name":"Acme Supplies SRL","address":"Rue de la Loi 100, 1040 Brussels, Belgium","email":"finance@acme-supplies.be","phone":"+32 2 555 01 00","policy_number":"AX-COM-2024-778451"},"insurer":{"name":"AXA Belgium SA","address":"Boulevard du Souverain 25, 1170 Brussels, Belgium","claims_email":"claims.commercial@axa.be"},"incident":{"date":"2025-05-14","time":"02:35","location":"Acme Supplies warehouse, Havenlaan 88, 1000 Brussels","description":"Forced entry through the rear loading-bay door. Stock from bays B3 and B4 was removed, primarily power tools and copper fittings. CCTV recorded two masked individuals on site for approximately 18 minutes.","cause":"Burglary (forced entry)","witnesses":[{"name":"Tomas Janssens","contact":"+32 475 22 18 03 (night security, SecureGuard NV)"},{"name":"Fatima El Amrani","contact":"warehouse supervisor, f.elamrani@acme-supplies.be"}]},"damages":[{"category":"property","description":"Stolen stock: 42 cordless drill kits, 18 reciprocating saws, 1,200m copper pipe (per inventory attached)","estimated_value":"22800.00","currency":"EUR"},{"category":"property","description":"Damage to rear loading-bay door and frame (quote from Delta Metalwork attached)","estimated_value":"1700.00","currency":"EUR"},{"category":"business_interruption","description":"Closure of bays B3-B4 for 2 business days pending forensic inspection","estimated_value":"3200.00","currency":"EUR"}],"police_report":{"reference":"BE-PZ-2025-0458","date":"2025-05-14","station":"Police Zone Brussels-Capital, Quai des Péniches 51"},"declaration":"I hereby declare that the information provided in this claim notification is true and complete to the best of my knowledge. I understand that any false or misleading statement may result in the rejection of this claim and/or cancellation of the policy, and may constitute insurance fraud.","signatory":{"name":"Isabelle Moreau","role":"Chief Financial Officer, Acme Supplies SRL","date":"2025-05-15","place":"Brussels"}}