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CLAIM FORM POLICY DETAILS INSURED DETAILS DETAILS OF THE DRIVER AT THE TIME OF ACCIDENT MOTOR INSURANCE CLAIM FORM If any detail or information is not readily available please do not delay dispatch of this form and such particulars may be sent ... Universal Sompo General Insurance Co. Ltd. towards full and final settlement of my/our claim under Policy No. ...
For any claims related assistance please contact our Nodal Officer, Click here for the Claim Assistance, Click here for the Claim Notification
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 THE ISSUE OF THIS FORM IS NOT TO BE TAKEN AS AN ADMISSION OF LIABILITY
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 universal-sompo Health 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.
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
medical information / documents from any hospital / Medical Practitioner who has attended on the person against whom this claim is made. I hereby declare that I have included all the bills / receipts for the purpose of this claim & that I will not be making any supplementary claim except the pre/post-hospitalization claim, if any.
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.
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.
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
