Facility Claim Form Template for Nigeria

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Key Requirements PROMPT example:

Facility Claim Form

"I need a Facility Claim Form for a manufacturing company in Lagos, Nigeria, to submit a claim for a machinery purchase facility that defaulted in March 2025, ensuring compliance with CBN regulations and including sections for multiple guarantors."

Document background

The Facility Claim Form is a crucial document used in Nigerian financial institutions for processing claims related to various types of financial facilities. This form is specifically designed to comply with Nigerian banking regulations and requirements set forth by the Central Bank of Nigeria. It is utilized when a facility holder or their authorized representative needs to make a claim regarding a financial facility, such as loans, overdrafts, or other banking products. The form captures essential information including claimant details, facility information, claim amount, supporting documentation, and necessary declarations. It serves as the primary document for initiating the claim process and must be completed accurately to ensure proper processing within the Nigerian banking system.

Suggested Sections

1. Claimant Information: Details of the person/entity making the claim including full name, address, contact information, and relationship to the facility

2. Facility Details: Information about the facility including account number, facility type, date of origination, and original facility amount

3. Claim Amount: Detailed breakdown of the claim amount including principal, interest, and any other charges

4. Reason for Claim: Detailed explanation of the circumstances leading to the claim

5. Supporting Documentation Checklist: List of required documents that must be attached to support the claim

6. Declaration: Statement confirming the truth and accuracy of the information provided

7. Authorization: Permission for the financial institution to verify information and process the claim

Optional Sections

1. Security Details: Information about any collateral or security associated with the facility, used when the facility is secured

2. Third Party Authorization: Authorization details when claim is being submitted by a person other than the facility holder

3. Insurance Information: Details of any insurance policies related to the facility, included when insurance coverage is relevant to the claim

4. Previous Claims History: Information about any previous claims on the same facility, included for facilities with claim history

5. Additional Parties: Details of other parties involved such as guarantors or co-borrowers, included when applicable

Suggested Schedules

1. Schedule A - Document Checklist: Detailed list of required supporting documents with submission status

2. Schedule B - Claim Calculation Sheet: Detailed breakdown of how the claim amount was calculated

3. Schedule C - Transaction History: Record of relevant transactions related to the facility

4. Appendix 1 - Identity Verification: Copies of required identification documents

5. Appendix 2 - Facility Documentation: Copies of original facility agreement and related documents

6. Appendix 3 - Evidence of Claim: Supporting evidence specific to the claim being made

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Banking

Financial Services

Insurance

Real Estate

Manufacturing

Agriculture

Oil and Gas

Telecommunications

Retail

Construction

Healthcare

Education

Transportation

Mining

Relevant Teams

Credit Administration

Claims Processing

Risk Management

Legal

Compliance

Operations

Customer Service

Documentation

Recovery

Internal Audit

Relationship Management

Relevant Roles

Credit Officer

Claims Manager

Relationship Manager

Risk Officer

Compliance Officer

Legal Counsel

Branch Manager

Operations Manager

Credit Risk Analyst

Account Officer

Recovery Officer

Facility Administrator

Documentation Officer

Internal Auditor

Customer Service Manager

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Authors

Alex Denne

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