Aditya Birla Sun Life Insurance Company Limited

Claim Forms & Downloads

Individual Claim

Documents to be Submitted

Non-Early Claim

**Early Claim

Claimant Statement Form

Death Certificate issued by Municipal Authority/ Gram Panchayat

Cancelled Cheque with pre-printed name/Bank Passbook with photograph (along with stamp and signature of the authorized signatory)/Online bank statement with transactions for last 3 months

Original Policy Document or Indemnity Bond in case Policy document is Lost

KYC Document of Claimant/Beneficiary/Nominee (ID Proof, Address Proof, Photograph and Relationship Proof).

Medical Attendant's Certificate, if any

Employer's Certificate (if employed)

Medical records (admission notes, discharge/ death summary, treatment records etc.

Additional Requirements for Accidental/Unnatural Death

Non-Early Claim

Early Claim

FIR & Final Police Closure Report

Post Mortem Report

Policy Inquest Report/Inquest Panchnama

Newspaper Cutting (if any)


Additional Requirements for below stated scenario:

1) Application to dispense for legal evidence to title (if the nominee has also expired)
2) Deed of Relinquishment (if Waiver of Premium applicable)
3) Copy of NRO/Indian Bank Account (if claimant is NRI/FNIO)
4) Banker's Certificate with details of new Karta (if HUF policy claim)
5) Outstanding loan account statement (if policy is assigned in favour of a financial institution, other than ABSLI)


*Legally entitled beneficiaries for below stated scenario

1) Assignee, if the policy is assigned (to the extent of outstanding loan as on date of event)
2) Class I legal heir of the life insured, if nominee has pre-deceased the life insured
3) Class I legal heir of the nominee, if life insured has pre-deceased the nominee
4) Guardian/appointee, if the nominee is minor
5) Class I legal heir of nominee/entitled beneficiary as per WILL after the death of nominee, if it is a staggered payout claim

**Early Claim: Claim within 3 years from date of issue or reinstatement with COI.

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: Riders are the applicable benefits that will add value to the chosen plan.

Aditya Birla Sun Life Insurance Solutions offer the best and most comprehensive protection plans with a set of riders that you can add to the policy. You can choose the riders you require and customise the plan as per your preference. And all of this comes your way at a nominal cost.

NOTE: The option of including Riders as add on benefits is not provided for policies issued to NRI customers.

S.No.

Document Name

Critical Illness (CI) Rider / CI Plus / Waiver of Premium CI / Lady Rider

Accidental Dismemberment

Accidental Disability

1

Critical Illness Claimant's Statement with KYC - ID Proof / Relationship Proof

2

Critical Illness Hospital Treatment Certificate

3

Critical Illness Family Physician's Certificate

4

Certificate by Employer

5

Original Policy Document / Indemnity Bond (In case Original Policy document is lost)

6

Medical Reports

7

Claimant's Statement for Accidental Dismemberment Rider along with KYC - ID Proof / Relationship Proof

8

Accidental Dismemberment Questionnaire to be Completed by Doctor

9

Cancelled Cheque with NEFT details

10

Claimant's Statement for Disability Claim along with KYC - ID Proof

11

Medical Certificate for Disability

12

Continuous Disability Statement

13

Police Report

Group Claim

S.No.

Document Name

Employer – Employee policy

EDLI Policy

Affinity Policy

Affinity Policy – Borrower Lender Policy

In case of Unnatural Death

1

Copy of Death Certificate issued by Municipal Authority / Gram Panchayat

2

Death Claim Form

3

Claimant's statement along with KYC – ID Proof / Relationship Proof

4

Medical Attendant's Certificate

5

Cancelled cheque with NEFT details

6

Certificate of Insurability

7

Employer's Certificate – In case Life Assured is employed

8

Age Proof

9

Loan Account's Statement

10

First Information Report

11

Post Mortem Report

Affinity Policy: Borrower Lender Policy:

S.No.

Document Name

Critical Illness

Accidental Dismemberment

Accelerated Terminal Illness

1

Dismemberment Rider Claim Form

2

Claimant's Statement for Accidental Dismemberment Rider

3

Accidental Dismemberment questionnaire to be completed by Doctor

4

Cancelled cheque with NEFT details

5

First Information Report

6

Final Police Report

7

Medical Reports

8

Critical Illness Rider Claim Form

9

Critical Illness Claimant Statement

10

Critical Illness Rider questionnaire to be completed by Doctor

11

Accelerated Terminal Illness Rider Claim Form

12

Accelerated Terminal Illness Claimant Statement

13

Accelerated Terminal Illness Rider questionnaire to be completed by Doctor

Social Claim

S.No.

Document Name

Accidental Dismemberment

1

Copy of Death Certificate issued by Municipal Authority / Gram Panchayat

2

Death Claim Form

Health Claim

S.No.

Document Name

Reimbursement Claims

Preauthorisation Claims

Hospital Care & Surgical Care Rider Claims

1

Claimant Statement duly filled by Policy holder / Nominee

2

Hospital Treatment Certificate duly filled by Treating Doctor of the hospital

3

Copy of Discharge Card / Death Summary duly attested by the hospital authority

4

Main Hospital bill with Bill Number & detailed break up

5

Laboratory reports

6

Cashless / Pre Authorisation request form

Hospital care, Surgical Care, Health Plans reimbursment claim:

Pre - authorisation Claim: