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

Hospital care, Surgical Care, Health Plans reimbursment claim:

Pre - authorisation Claim: