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MOTOR INSURANCE CLAIM FORM. THE ISSUE OF THIS FORM IS NOT TO BE TAKEN AS AN ADMISSION OF LIABILITY. Important Instructions. Claim form is to be filled and signed by the Insured (Registered Owner) of the vehicle. Please do not leave any column unanswered.
General insurance claim process: Easy online insurance claim process with Bajaj Allianz. Step-by-step guidance to register health, home, motor & travel claims. Check claim status now!
CLAIM FORM FOR HEALTH INSURANCE POLICIES OTHER THAN TRAVEL AND PERSONAL ACCIDENT – PART A. TO BE FILLED IN BY THE INSURED The issue of this form is not to be taken as an admission of liability.
claim form for heal th insurance policies other than travel and personal accident -part a TO BE FILLED IN BY THE INSURED The issue of this form is not to be taken as an admission of liability
Bajaj Allianz Life Insurance Death Claim Form • Claims under multiple policies may be registered by filling a single form & providing all applicable policy numbers. • Claim is payable subject to the policy being in force on the date of event and fulfilment of all terms and conditions of the policy.
Oct 18, 2023 · In case the claimant is a minor, the guardian/appointee may fill the form. Claims under multiple policies may be registered by filling a single form & providing all applicable policy numbers. In case of more than one claimant, separate forms need to be filled for each claimant.
CLAIM FORM FOR GROUP PERSONAL ACCIDENT POLICIES (To be filled in block Letters) Bajaj Allianz General Insurance Co. Ltd. Regd. & Head Office: GE Plaza, Airport Road, Yerawada, Pune 411 006 Email id: customercare@bajajallianz.co.in Toll free no: 1800-209-5858 Land line number:-020-30305858 Profession or Occupation Employee Number Name of the ...
