Health Claim Checklist

Here’s an exhaustive list of documents you may need to submit to make a claim. You may need only a few or all of them based on your situation.

Motor Claim Checklist

Here is an exhaustive list of documents you may need to submit for making a claim.

You may need only a few or all of them based on your situation.

Here’s an exhaustive list of documents you may need to submit to make a claim. You may need only a few or all of them based on your situation.

All original Medical Papers,treatment papers, laboratory/radiology tests and bills.
Copy of the Attendance register past 12 months from the date of incidence.
Copy of the Wage register past 12 months from the date of incidence.
Age proof (Mentioning Date of Birth)
Recent photo showing the affected area of the body.
Original Cancel Cheque or Bank passbook, showing name of insured, a/c number, type of account, IFSC code and MICR number and Branch code.
NEFT form duly filled in (As per Insurance Company's Format).

Detail incidence report by supervisor.
Disability certificate, if any.
Copy of FIR/intimation duly attested by police authority, If any
AML Documents (certificate of incorporation and memorandum and article of association & copy of PAN allotment letter)

Claim to Filed In*

Insurance Company*

Your Name*

Policy Number*

Claim Description

Name of Driver:*

Driver Licence Number:*

Any Injury to Third Party or Property Damage:*

Date of Loss:*

Time of Loss:*

Place of Loss:*

Patient Name:*

Hospital Name:*

Hospital Address:*

Admission Date: *

Approx. Discharge Date:*

Remarks:

Date and time of accident:*

Place of incident:*

Cause and nature of injuries:*

Name of injured person: *