Claim Form - audit fees

Aarong

Informations

• Publié par: Machir
• Nombre de lectures: 23
• Langue: English

Extrait

Claim Form – Audit Fees

ACCURACY OF INFORMATION.

It is a condition of the Policy that all information provided is

accurate. Any information found not to be true may lead to a claim being denied and the Policy

being terminated. The insurer has the right to further investigate or audit any claim.

INSTRUCTIONS.

Please complete this form; attach relevant documents as listed below; and

mail to InsureAust Pty Ltd, Locked Bag 2323 St Leonards NSW 1590 or fax to 02 9437 1728.

If the documentation can’t be provided please contact us on 02 8437 1633 to resolve.

Insured’s Name: _____________________________________________________

AEI Reference Number: ___________________________

Policy Number: _______________________

Contact person should we have any questions:

Name:

_________________________

Phone number:

(____) _________________________

Fax number:

(____)_________________________

Email address: ______________________________________________

If the entity being audited differs to the ‘Insured Name’ noted above, please list here and note

additional instructions at

#

under the heading ‘Documents Required’ below.

________________________________________________________________________

Is the Insured Name GST registered?

YES [ ]

NO [ ]

If ‘YES”, the ABN is: _______________________________________

What type of audit is being undertaken i.e., income tax, BAS, payroll, workers compensation?

________________________________________________________________________

Which financial years are being audited? ________________________________

What date were you first advised that an audit was to be undertaken? ______/____/_______

If you are reporting this claim more than 20 business days after the above date, please explain

why the delay.

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Estimate of the final claim cost: $_________________

If all documents, as listed below, are not being provided to finalise this claim, approximately

when will final documentation be provided? ______/__________

Where attached, does the Tax Invoice represent ‘FINAL’ [ ] or ‘PROGRESS’ [ ] payment.

Insured Name’s Signature: _________________________________________

Date: ______/_______/________

DOCUMENTS REQUIRED TO COMPLETE THE CLAIM:

Please note that InsureAust Pty Ltd manages the insurance facility on behalf of the insurer.

Our role is to compile the required documents and submit to the insurer for consideration and

settlement.

We have no claims settlement authority.

Documents required:

•

This Claim Form.

•

A copy of the written notice from the relevant statutory authority advising that an audit is

to be undertaken.

•

#

It is possible that the entity being audited is a subsidiary or majority controlled entity of

the ‘Insured Name’ listed on this Claim Form. Please provide documentary proof

(preferably a copy of the relevant ASIC annual return) that substantiates the relationship

between the ‘Insured Name’ and the entity being audited.

•

Proof as to the actual date that the relevant return(s) being audited were submitted to the

relevant government authority.

•

The professional’s Tax Invoice sent to and signed by the insured as an

acknowledgement that the duties were undertaken.

(Please note that the amount of the

claim will reduce the remaining limit available for future claims.)

•

Where the amount of the Tax Invoice is greater than $500, we require a copy of the

professional’s ‘time sheets’ or ‘work in progress’ documents that support the activities as

highlighted on the professional’s Tax Invoice.

•

A copy of the final letter from the relevant statutory authority confirming that the audit has

been completed.

•

The insurer normally settles the professional fees being claimed to the relevant

professional noted on the Tax Invoice. If you have already paid the professional’s Tax

Invoice, please provide proof of payment.