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Aditya Birla Sun Life Insurance Company Limited

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)

Claimant's Statement

In case of early claim: (Less than 36 months from date of policy issuance)

Change request form

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:

Medical Attedant's Certificate

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:

Death Claim Form

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:

Preauthorization Request Form