Claim Documents

Motor Claim Documents:

For Motor Damage Claim

  1. Claim Form duly filled and signed/stamped
  2. Copy of Blue Book (OD & TP) all pages
  3. Copy of driving license(OD & TP) clear and valid
  4. Rout permit (OD & TP) for commercial vehicle
  5. Original Police report
  6. Copy of Milapatra
  7. Quotations (1 quotation from authorized service center or 3 quotations from local workshop)
  8. Original Bills (vehicle repair)

For Death Claim

  1. Postmortem report
  2. Ghatanasthal Muchulka Report
  3. Copy of citizenship of death person
  4. Copy of citizenship of nominee
  5. Attested copy of Relationship Certificate
  6. Death registration Certificate (Municipality)
  7. Death Certificate from Hospital (in case of death in hospital)

For Injury Claim

  1. Emergency Ticket
  2. Doctor's prescription, all original medical bill and various diagnosis report and x-ray.
  3. Discharge Summary (incase of hospitalization)

Motor Theft Claim Documents:

  1. Claim Form duly filled and signed/stamped
  2. Original Policy
  3. Copy of Driving License
  4. Copy of owners book
  5. Original owner’s book after the transfer block
  6. Local Police Station Report
  7. Mahanagariya Traffic Police Report
  8. Transfer Blockage Letter From TMO
  9. News Paper Notice of Theft Motorcycle
  10. Current Finance Statement
  11. Purchase Bills
  12. Key of Motorcycle
  13. Witness details with sign (min 4 person)

Marine Claim Documents:

  1. Claim Form duly filled and signed/stamped
  2. Original Policy
  3. Copy of Consignment Note
  4. Carrier shortage damage certificate
  5. Copy of your claim on carriers and their reply in Original.
  6. Supplier's Invoice in Original together with the packing slips.
  7. Performa Invoice of the suppliers 
  8. Bhansar Pragyapan Patra
  9. Copy of LC
  10. Delivery Challan in Original
  11. Claim bills
  12. Photographs of damage items

Engineering Claim Documents:

  1. Claim Form duly filled and signed/stamped
  2. Company registration and copy of pan/vat
  3. Copy of TP land/Lalpurja certificate
  4. Bill of Quantities (BOQ)
  5. Agreement paper having with principal
  6. Date of commencement of construction
  7. Date of completion of construction
  8. Drawing of damage structure
  9. Original estimate/quotation
  10. Original Police Report
  11. Technical report of damage item
  12. Rate analysis of loss
  13. Hydrology and Metrology report
  14. Further documents ask by claim department on case to case basic

Property Claim Documents:

  1. Claim Form duly filled and signed/stamped
  2. Company registration and copy of pan/vat
  3. Copy of land/Lalpurja certificate
  4. Stock details( In case of stock loss)
  5. Police/municipality/vdc report
  6. Fire bridge report (in case of fire)
  7. Original estimate/quotation
  8. Weather report (metrology dept: weather related loss)
  9. Rate analysis of loss
  10. Muchulka of witness
  11. Further documents ask by claim department on case to case basic

Medical Claim Documents:

  1. Claim Form duly filled and signed/Stamped
  2. Doctor’s prescription, emergency ticket, original bills, all diagnosis report with x-ray.
  3. Discharge summer (In case of hospitalization)

Group Personal Accident:

  1. Claim Form duly filled and signed/Stamped
  2. Doctor’s prescription, emergency ticket, original bills, all diagnosis report with x-ray.
  3. Discharge summer (In case of hospitalization)
  4. Attendance sheet together with valid stamp/signed
  5. Salary sheet with breakdown and valid stamp/signed
  6. Job card or appointment letter ( In case of unnamed insured)

Agriculture Claim Documents (Life stock) :

  1. Claim Form duly filled by insured together with valid signed/Stamped
  2. Claim Form duly filled by technical person with valid signed/Stamped
  3. Surjamin muchulka
  4. Tag
  5. Clear photos of cattle together with mention tag
  6. Cattle death certificate from relative district cattle service department with valid stamp/singed

(Note: documents may varies or additional documents may required as per the type of incident and claim department will assist in such condition)