Claim Forms & Downloads
Death Claim
-
List of required documents
Policy Duration Type of Event Claim Requirement Non-early claim Natural Death Standard Requirement - Copy of Death Certificate issued by Municipal Authority / Gram Panchayat
- Claimant's Statement along with KYC - ID Proof / Relationship Proof
- Original Policy Document / Indemnity Bond ( In case Original Policy document is lost)
- Cancelled Cheque with NEFT details
Early Claim Natural Death Additional Documents Required - Medical Attendant Certificate
- Employer's Certificate - In case Life Assured is Employed
Early / Non-early claim Unnatural Death Additional Documents Required - First Information Report
- Post Morterm Report
Early / Non-early claim Waiver of Premium Death Additional Documents Required - Proposed Policyowner Form
- Deed of Relinquishment to be executed on Rs. 200/- stamp paper duly notarized
Standard Documents: (For all death claims)
In case of early claim: (Less than 36 months from date of policy issuance)
Change request form
Rider Claim
-
List of required documents
Type of Event Claim Requirement Critical Illness (CI) Rider / CI Plus / Waiver of Premium CI / Lady Rider Standard Documents Required - Critical Illness Claimant's Statement with KYC - ID Proof / Relationship Proof
- Critical Illness Hospital Treatment Certificate
- Critical Illness Family Physician's Certificate
- Certificate by Employer
- Original Policy Document / Indemnity Bond (In case Original Policy document is lost)
- Medical Reports
Accidental Dismemberment Standard Documents Required - Claimant's Statement for Accidental Dismemberment Rider along with KYC - ID Proof / Relationship Proof
- Accidental Dismemberment Questionnaire to be Completed by Doctor
- Original Policy Document / Indemnity Bond (In case Original Policy document is lost)
- Medical Reports
- Cancelled Cheque with NEFT details
Accidental Disability Standard Documents Required - Claimant's Statement for Disability Claim along with KYC - ID Proof
- Medical Certificate for Disability
- Continuous Disability Statement
- Original Policy Document / Indemnity Bond (In case Original Policy document is lost)
- Medical Reports
- Police Report
- Cancelled Cheque with NEFT details
Critical Illness (CI) Rider, CI Plus, Waiver of Premium CI, Lady Rider:
Accidental Dismemberment:
Accidental Disability:
Cancershield:
Critishield:
Death Claim
-
List of required documents
Type of Event Claim Requirement Employer – Employee policy Standard Requirement - Copy of Death Certificate issued by Municipal Authority / Gram Panchayat
- Death Claim Form
EDLI Policy Standard Requirement - Copy of Death Certificate issued by Municipal Authority / Gram Panchayat
- Death Claim Form
Affinity Policy Standard Requirement - Copy of Death Certificate issued by Municipal Authority / Gram Panchayat
- Death Claim Form
- Claimant's statement along with KYC – ID Proof / Relationship Proof
Affinity Policy – Borrower Lender Policy Standard Requirement - Medical Attendant's Certificate
- Cancelled cheque with NEFT details
- Certificate of Insurability
- Employer's Certificate – In case Life Assured is employed
- Age Proof
- Loan Account's Statement
In case of Unnatural Death Standard Requirement - First Information Report
- Post Mortem Report
Standard Documents: (Based on scheme type)
Affinity Policy: Borrower Lender Policy:
Rider Claim
-
List of required documents
Type of Event Claim Requirement Accidental Dismemberment Standard Requirement - Dismemberment Rider Claim Form
- Claimant's Statement for Accidental Dismemberment Rider
- Accidental Dismemberment questionnaire to be completed by Doctor
- Cancelled cheque with NEFT details
- First Information Report
- Final Police Report
- Medical Reports
Critical Illness Standard Requirement - Critical Illness Rider Claim Form
- Critical Illness Claimant Statement
- Critical Illness Rider questionnaire to be completed by Doctor
- Medical reports
- Cancelled cheque with NEFT details
Accelerated Terminal Illness Standard Requirement - Accelerated Terminal Illness Rider Claim Form
- Accelerated Terminal Illness Claimant Statement
- Accelerated Terminal Illness Rider questionnaire to be completed by Doctor
- Medical reports
- Cancelled cheque with NEFT details
Accidental Dismemberment:
Critical Illness:
Accelerated Terminal Illness:
Disability:
Social Claim
-
List of required documents
Type of Event Claim Requirement Accidental Dismemberment Standard Requirement - Copy of Death Certificate issued by Municipal Authority / Gram Panchayat
- Death Claim Form
Downloads:
Health Claim
-
List of required documents
Type of Event Claim Requirement Reimbursement Claims Standard Requirement - Claimant Statement duly filled by Policy holder / Nominee
- Hospital Treatment Certificate duly filled by Treating Doctor of the hospital
- Copy of Discharge Card / Death Summary duly attested by the hospital authority
- Main Hospital bill with Bill Number & detailed break up
- Laboratory reports
Preauthorisation Claims Standard Requirement - Cashless / Pre Authorisation request form
Hospital Care & Surgical Care Rider Claims Standard Requirement - Claimant Statement duly filled by Policy holder / Nominee
- Hospital Treatment Certificate duly filled by Treating Doctor of the hospital
- Copy of Discharge Card / Death Summary duly attested by the hospital authority
- Main Hospital bill with Bill Number & detailed break up
- Laboratory report