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Universal Sompo General Insurance Co. Ltd. towards full and final settlement of my/our claim under Policy No. _____in respect of damage caused to my/our vehicle no. _____ in an accident which occurred on ____ / ____/_____ and claim lodged by me under Claim No. , which is to
For any claims related assistance please contact our Nodal Officer, Click here for the Claim Assistance, Click here for the Claim Notification
Health Claims Management: Universal Sompo General Insurance Co Ltd, 1st Floor, Plot No.- C 56 A/13, Sector - 62, Noida, Uttar Pradesh -201309 Toll Free Helpline No: 1800 200 4030; Email ID: healthserve@universalsompo.com
Download Claim Form - Universal Sompo Car Insurance . Universal Sompo General Insurance Co. Ltd. (A joint venture between Allahabad Bank, Sompo Japan Insurance Inc., Indian Overseas Bank, Karnataka Bank and Dabur Investments) Regd. Office : Unit No. 401, 4th Floor, Sangam Complex, 127 Andheri Kurla Road, Andheri (East), Mumbai-400059.
Motor Insurance Claim Form. (A joint venture between Allahabad Bank, Sompo Japan Insurance Inc., Indian Overseas Bank, Karnataka Bank and Dabur Investments.) Regd. Office: 201-208, Crystal Plaza, Opp. Infiniti Mall, Link Road, Andheri (West), Mumbai - 400 058.
Health Claims Management: Universal Sompo General Insurance Co Ltd, Assotech One, 5th Floor, C-20/1A, C –Block, Sector-62, Noida -201309 Toll Free Fax No: 1800 200 9134; Toll Free Helpline No: 1800 200 5142; Email ID: healthserve@universalsompo.com
Signature of the insured. ANTI-MONEY LAUNDERING REQUIREMENT (For claim more than or equal to Rs. 1 Lakh - One Document each from (1) and (2)) (. ) AADHAR Card 2. Proposer’s Address (a) Current Telephone /Mobile Bill (b) Current Bank Passbook (c) Electricity Bill (d) Ration Card (e) Valid Rent. B.
GUIDANCE FOR FILLING CLAIM FORM - PART A (To be filled in by the insured) DATA ELEMENT DESCRIPTION FORMAT SECTION A - DETAILS OF PRIMARY INSURED a) Policy No. Enter the policy number As allotted by the Insurance Company b) Sl. No/ Certificate No. Enter the social Insurance number or the certificate number of As allotted by the oraganization social health insurance scheme
Universal Sompo Motor Insurance Claim Form - Summary. This is a Motor Insurance Claim form issued by Universal Sompo General Insurance Co. You can get this form at the nearest branch of Universal Sompo or download it directly from the link given below.
CLAIM FORM - PART B TO BE FILLED IN BY THE HOSPITAL The issue of this form is not to be taken as an admission of liability Please include the original preauthorization request form in lieu of PART A (To be filled in block letter) DETAILS OF a) Name of Hospital : b) NonHospital ID : d) Name of the treating doctor : c) Type of Hospital : Network Network (If non network section E)
