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Contoh Surat Kuasa Asuransi yang Baik dan Benar - Contohsurat
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Contoh Surat Kuasa Asuransi yang Baik dan Benar

Surat kuasa aasuransi adalah surat yang berisikan pernyataan bahwa seseorang memberikan wewenang kepada orang lain untuk melakukan suatu pekerjaan yang seharusnya dapat ia lakukan sendiri, tetapi karena suatu hal ia tidak dapat melakukan pekerjaannya, dalam hal ini adalah pengurusan asuransi.

Saat ini tingkat kesadaran masyarakat akan kesehatan dan jaminan masa depan  semakin tinggi. Masyarakat mulai mempersiapkannya dengan membuat asuransi. Asuransi merupakan pelayanan yang memungkinkan seseorang mendapatkan ganti rugi jika terjadi musibah seperti kecelakaan, meninggal dunia, dan lain-lain. Dengan adanya asuransi, seseorang tidak perlu khawatir jika mendapatkan musibah karena pihak keluarga masih mendapatkan ganti rugi.

Surat kuasa asuransi dapat dikenakan kepada berbagai aset seperti kesehatan, jiwa, mobil, motor, kecelakaan, meninggal dunia, dll. Surat kuasa asuransi dapat disesuaikan berdasarkan kebutuhan dan jenis asuransi yang akan diproses.

Surat kuasa asuransi secara umum memiliki format sebagai berikut :

  1. Judul “SURAT KUASA”
  2. Identitas pemberi kuasa (Nama, No identitas, Jabatan, dll)
  3. Kalimat pernyataan, “memberikan kuasa kepada”
  4. Identitas penerima kuasa (Nama, No identitas, Jabatan, dll)
  5. Kalimat pernyataan memberikan kuasa kepada penerima untuk melakukan pengurusan asuransi
  6. Penutup
  7. Tempat dan tanggal pembuatan surat
  8. Tanda tangan dan nama jelas kedua belah pihak

Berikut merupakan beberapa contoh surat kuasa asuransi untuk berbagai keperluan yang bisa Anda jadikan referensi :

Contoh Surat Kuasa Asuransi Mobil

Contoh Surat Kuasa Asuransi Mobil

SURAT KUASA

Yang bertanda tangan di bawah ini :

Nama           : Budi Hermawan

Alamat         : Jalan Kenanga No 76 Jakarta

No KTP       : 3509211506820003

Dalam hal ini bertindak selaku diri sendiri dan sebagai pemilik polis asuransi nomor 28-09-7888986 dari asuransi PT. Bumiputera Jaya atas kendaraan AVANZA warna putih nomor polisi B 3345 AT, selanjutnya disebut sebagai Pemberi Kuasa

Dengan ini memberikan kuasa kepada

Nama           : Agung Herlambang

Alamat         : Jalan Melati No 14 Jakarta

No KTP       : 3509211708840002

Untuk mewakili atau bertindak untuk dan atas nama pemberi kuasa mengajukan klaim asuransi atas terjadi kecelakaan pada kendaraan tersebut.

Selanjutnya penerima kuasa berhak mengajukan klaim tersebut, memberikan keterangan-keterangan, menerima klaim asuransi dan membuat tanda terimanya

Demikian surat kuasa ini dibuat pada hari dan tanggal sebagaimana tersebut di bawah, bermaterai cukup, untuk dapat dipergunakan sebagaimana mestinya.

Jakarta, 28 September 2018

Penerima Kuasa

Agung Herlambang

Pemberi Kuasa

Budi Hermawan

download format words

Contoh Surat Kuasa Asuransi Motor

Contoh Surat Kuasa Asuransi Motor

SURAT KUASA

Yang bertanda tangan di bawah ini :

Nama           : Ridwan Fanani

Alamat         : Jalan Merdeka No 19 Surabaya

No KTP       : 3509211506820003

Dalam hal ini bertindak selaku diri sendiri dan sebagai pemilik polis asuransi nomor 28-09-125634 dari asuransi PT. BNA atas kendaraan motor Mio warna hitam nomor polisi L 1875 QC, selanjutnya disebut sebagai Pemberi Kuasa

Dengan ini memberikan kuasa kepada

Nama           : Shinta Hapsari

Alamat         : Jalan Melati No 14 Surabaya

No KTP       : 3509211708840002

Untuk mewakili atau bertindak untuk dan atas nama pemberi kuasa mengajukan klaim asuransi atas terjadi kecelakaan pada kendaraan tersebut.

Selanjutnya penerima kuasa berhak mengajukan klaim tersebut, memberikan keterangan-keterangan, menerima klaim asuransi dan membuat tanda terimanya

Demikian surat kuasa ini dibuat pada hari dan tanggal sebagaimana tersebut di bawah, bermaterai cukup, untuk dapat dipergunakan sebagaimana mestinya.

Surabaya, 16 Mei 2018

Penerima Kuasa

Shinta Hapsari

Pemberi Kuasa

Ridwan Fanani

download format words

Contoh Surat Kuasa Asuransi Jiwa

Contoh Surat Kuasa Asuransi Jiwa

SURAT KUASA

Yang bertanda tangan di bawah ini :

Nama           : Budi Hermawan

Alamat         : Jalan Kenanga No 76 Jakarta

No KTP       : 3509211506820003

Dalam hal ini bertindak selaku diri sendiri dan sebagai pemilik polis asuransi nomor 28-09-7888986 dari asuransi PT. Bumiputera Jaya atas kendaraan AVANZA warna putih nomor polisi B 3345 AT, selanjutnya disebut sebagai Pemberi Kuasa

Dengan ini memberikan kuasa kepada :

Nama           : Agung Herlambang

Alamat         : Jalan Melati No 14 Jakarta

No KTP       : 3509211708840002

Untuk mewakili atau bertindak untuk dan atas nama pemberi kuasa mengajukan klaim asuransi atas terjadi kecelakaan pada kendaraan tersebut.

Selanjutnya penerima kuasa berhak mengajukan klaim tersebut, memberikan keterangan-keterangan, menerima klaim asuransi dan membuat tanda terimanya

Demikian surat kuasa ini dibuat pada hari dan tanggal sebagaimana tersebut di bawah, bermaterai cukup, untuk dapat dipergunakan sebagaimana mestinya.

Jakarta, 28 September 2018

Penerima Kuasa

Agung Herlambang

Pemberi Kuasa

Budi Hermawan

download format words

Demikian contoh Surat Kuasa Asuransi ini dibuat, semoga bisa menjadi referensi yang baik bagi Anda yang membutuhkan. Mohon maaf apabila terdapat kesamaan nama/tempat/informasi lain karena surat yang dibuat hanya bertujuan sebagai percontohan tanpa ada maksud apapun.


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Post Date: Thursday 24th, January 2019 / 09:19 Oleh :
Kategori : Surat Kuasa

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