最新华泰财产保险 货运险理赔单证

赔款收据和权益转让书

RECEIPT AND SUBROGATION FORM

致：华泰财产保险有限公司分公司

To: Huatai Insurance Company of China, Limited Branch

保单号：

Policy/Certificate No.

兹证实收到贵公司上述保单（凭证）项下的赔款，总计：(赔付金额),保险标的为提单（提单号）项下货物（货物名称），承运船“船名”起运地（起运港）目的地（目的港）。

Received from The Huatai Insurance Company of China, Limited, the sum of in full and final settlement of the claim under the above mentioned Policy /Certificate on . under

B/L No. shipped per S/S “ ” from to .

鉴于收到上述赔款，我公司同意将上述保单项下已取得保险赔款部分保险标的的一切权益转让给贵公司，并授权贵公司得以我公司或贵公司自己的名义向责任方追偿或诉讼，我公司将提供充分的协助。

In consideration of having received this payment,we hereby agree to assign,transfer and subrogate to you,to the extent of your interest,all our rights and remedies in and in respect of the subject matter insured,and to grant you full power and give you any assistance you may reasonably require of us in the exercise of such rights and remedies in our or your name and at your own expense.

被保险人签章:

Signed/Stamp:

日期：

Date: