Insurance Claim - Documentation Pack
Fill-in documentation pack to record everything needed after a treatment incident
Use this when
- insurance claim
- incident report
- treatment reaction
- documentation
Free — we only ask for your email on first use.
Insurance Claim - Documentation Pack
This is a template - always read the linked guide first. BeautyKiln gives general information, not legal advice.
If something has gone wrong during a treatment, document everything immediately. The more detail you record now, the easier the insurance claim process will be. Fill this in as soon as possible after the incident - don't wait.
Your Details
- Your name: [YOUR NAME]
- Business name: [YOUR BUSINESS NAME]
- Business address: [YOUR BUSINESS ADDRESS]
- Phone: [YOUR PHONE NUMBER]
- Email: [YOUR EMAIL]
Insurance Details
- Insurance provider: [PROVIDER NAME]
- Policy number: [POLICY NUMBER]
- Type of cover: [PUBLIC LIABILITY / PROFESSIONAL INDEMNITY / TREATMENT RISK]
- Policy excess: £[AMOUNT]
- Claims helpline number: [PHONE NUMBER]
Incident Report
- Date of incident: [DATE]
- Time of incident: [TIME]
- Location: [EXACT LOCATION - salon address, client's home address, etc.]
What Happened
Describe exactly what happened in chronological order. Be factual - don't speculate about causes. Include:
[WRITE YOUR ACCOUNT HERE - include what treatment was being performed, what went wrong, what you did immediately afterwards, and what the client said]
Treatment Being Performed
- Treatment type: [e.g. hair colour, lash extensions, waxing, nail enhancements, facial]
- Was a patch test done? Yes / No
- Patch test date: [DATE]
- Patch test result: [RESULT]
- Was a consultation form completed? Yes / No
- Was a consent form signed? Yes / No
Client Details
- Client name: [CLIENT NAME]
- Client phone: [CLIENT PHONE]
- Client email: [CLIENT EMAIL]
- Is this a new or returning client? [NEW / RETURNING - if returning, how many previous visits?]
- Any known allergies or medical conditions disclosed: [DETAILS]
Product Details
Record every product used during the treatment:
| Product Name | Brand | Batch Number | Expiry Date | Where Purchased |
|---|---|---|---|---|
| [PRODUCT 1] | [BRAND] | [BATCH] | [EXPIRY] | [SUPPLIER] |
| [PRODUCT 2] | [BRAND] | [BATCH] | [EXPIRY] | [SUPPLIER] |
| [PRODUCT 3] | [BRAND] | [BATCH] | [EXPIRY] | [SUPPLIER] |
Keep the actual products - don't throw them away. Your insurer may want to test them.
Injury or Damage Details
- Type of injury/damage: [e.g. allergic reaction, burn, chemical damage, hair loss, infection, scarring]
- Body area affected: [DETAILS]
- Severity (your assessment): [MILD / MODERATE / SEVERE]
- Did the client seek medical attention? Yes / No / Don't know
- If yes, where? [GP / A&E / Walk-in centre / Pharmacist]
Photos
Take clear photos of:
- The affected area (with client's consent)
- The products used (labels visible, batch numbers visible)
- The treatment area and setup
- Any equipment involved
- The consultation and consent forms
Photos taken: Yes / No Number of photos: [NUMBER] Stored where: [PHONE / CLOUD / COMPUTER]
Witnesses
| Witness Name | Role | Contact Number | What They Saw |
|---|---|---|---|
| [NAME] | [e.g. colleague, receptionist, other client] | [PHONE] | [BRIEF SUMMARY] |
| [NAME] | [ROLE] | [PHONE] | [SUMMARY] |
Supporting Documents Checklist
Gather and attach copies of:
- Client consultation form
- Signed consent form
- Patch test record
- Treatment record / appointment notes
- Product purchase receipts
- Your qualification certificates for the treatment
- Your insurance certificate
- Any text messages or emails with the client about the incident
- Photos (as listed above)
Timeline of Events
| Date | Time | What Happened |
|---|---|---|
| [DATE] | [TIME] | Client arrived for appointment |
| [DATE] | [TIME] | Treatment started |
| [DATE] | [TIME] | [INCIDENT OCCURRED] |
| [DATE] | [TIME] | [YOUR IMMEDIATE RESPONSE] |
| [DATE] | [TIME] | [CLIENT LEFT / SOUGHT MEDICAL HELP] |
| [DATE] | [TIME] | [YOU CONTACTED YOUR INSURER] |
Important Reminders
- Do not admit liability - be sympathetic but don't say 'it was my fault' or 'I'm sorry this happened because I...'
- Do not offer compensation directly - let your insurer handle it
- Do not discuss the claim on social media
- Do not delete any text messages or communications with the client
- Contact your insurer as soon as possible - most policies require notification within 24-48 hours
- Keep a copy of everything you send to your insurer
Completed by: [YOUR NAME] Date completed: [DATE] Insurer notified: Yes / No Date insurer notified: [DATE] Claim reference number: [REFERENCE]
More templates in Insurance
Incident and Adverse Reaction Report Form
Structured form for documenting allergic reactions, burns, injuries and other incidents during or after treatment. Essential for insurance claims.
Open template
Annual Insurance Review Checklist
Annual checklist to review your insurance cover and compare quotes before renewal
Open template
