Claim Forms & Downloads

  • List of required documents

    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

  • List of required documents

    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


Critical Illness (CI) Rider, CI Plus, Waiver of Premium CI, Lady Rider:

Accidental Dismemberment:

Accidental Disability:

Cancershield:

Critishield:

  • List of required documents

    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

Standard Documents: (Based on scheme type)

Affinity Policy: Borrower Lender Policy:

  • List of required documents

    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

Accidental Dismemberment:

Critical Illness:

Accelerated Terminal Illness:

Disability:

  • List of required documents

    S.No.

    Document Name

    Accidental Dismemberment

    1

    Copy of Death Certificate issued by Municipal Authority / Gram Panchayat

    2

    Death Claim Form

Downloads:

  • List of required documents

    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: