Basic Documents Required for Claim Settlement:
Claim Under Motor Insurance
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Claim form duly completed and signed.
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Estimates of repairs and replacement of the affected vehicle/property from dealer/workshop.
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Photographs of the damaged vehicle/property showing number plate and damages distinctly.
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Statement of driver on the wheel at the time of accident and copy of his valid driving license book.
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Notification of the loss to police & their report.
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Copy of whole set of valid registration book of the damaged vehicle.
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Copy of Route permit & Janch Pass of the vehicle valid at the time of accident.
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Load chalan /Passenger chalan of the vehicle related to the time of accident.
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Bill & Cash Memo related to the repair and replacement of the damaged vehicle/property.
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Other claims related documents required under merit basis of loss.
In case of Third Party /Passenger/Staff‘s Bodily Injury
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Complete sets of medical papers including doctor’s prescriptions, Medical cash memos, Pathological reports, Admission & Discharge Ticket & other treatment related medical documents.
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Aattested copy of Milapatra and all other claims related documents as needed.
In case of Third Party /Passenger/Staff‘s Death
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Copy of Abhiyog Patra.
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Letter issued from CDO office to release compensation.
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Attested copy of Court Decision, if any.
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Postmortem Report and Death Certificate, Ghatanasthal/Lash Janch Prakriti Muchulka.
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Copy of Legal Heir Certificate and Citizenship of deceased & legal heir.
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Claim letter served upon you by third party.
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Copy of Payment Receipt/Milapatra and all other claims related documents as needed.
Claim Under Personal Accident/Health Insurance
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Claim form duly completed and signed.
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Complete sets of medical papers including doctor’s prescriptions, Medical cash memos, Pathological reports, Admission & Discharge Ticket & other treatment related medical documents.
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Medical certificate duly filled and signed by attending doctor.
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Date of duty resumed by the employee after the accident including copy of approved leave form.
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Copy of Monthly Salary/Payroll of the injured person.
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Doctor’s prescriptions & cash memos for the medicine purchased.
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Hospitalization Reports including Discharge Certificate with Pathological Reports including X-ray Plates.
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Copy of Autopsy (Postmortem) Report.
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Copy of Death Certificate.
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Copy of Legal Heir Certificate and Citizenship of deceased & legal heir.
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Copy of notification of loss to police and their investigation report.
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Copy of Court Decision, Ghatanasthal Muchulka..
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Other claims related documents required under merit basis of loss.
Claim Under Property/Engineering Insurance
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Claim form duly completed and signed.
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Cost estimation of repair & replacement for the affected property.
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Statement of the watchman on duty at the time of theft/loss.
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Statement of Supervisor/Engineer on duty at the time of loss.
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Hydrology & Metrology report.
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Copy of notification of loss to police and their investigation report.
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Fire brigade report specifying the cause of loss.
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Stock book of the affected property prepared prior to loss.
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Copy of Bill of Quantity (BOQ).
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Certification of losses from principal and/or consultants.
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Other claims related documents required under merit basis of loss.
Claim Under Marine Insurance
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Claim form duly completed and signed.
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Itemised Estimate for repairs/replacements.
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Bill of Lading.
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Shipper’s Invoice original or certified.
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Packing slip/Weight certificates.
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Copy of Declaration/Monthly report.
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Original certificate/Policy of insurance duly endorsed.
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Claim statement.
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Consignees Statement of facts.
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Consignment Notes.
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Claim against Carrier/Other responsible Parties.
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Claim against the Responsible Carrier inviting inspection when damage exits.
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Carrier’s reply or Acknowledgement card.
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Carrier’s confirmation of Non-Delivery.
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Delivery receipt issued by Dock/Other Carrier.
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Exceptions issued by Inland Carriers, Warehouse or Consignees etc.
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Custom consumption entry.
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Pragyapan Patra.
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Original Receipted Bill of Sale.
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Copy of Assured’s notification of loss to police.
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Receipted Bills for repairs/replacements.
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Proof of Loss.
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Driver’s Statement.
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Interchange Container Report.
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Container Stuffing Tally.
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Police Report of the vehicle accident.
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Custom Transit Declaration.
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Other claims related documents required under merit basis of loss.
Claim Under Agriculture Insurance
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Claim form duly completed and signed.
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Prabidhik(Technical person)’s report.
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VDC/Municipality report about loss.
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Police report/Muchulka about loss.
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Copy of Lalpurja/Agreement paper.
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Copy of VAT/PAN Registration.
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Copy of Company Registration.
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Copy of Citizenship certificate.
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Treatment related documents of Livestock/Birds.
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Post mortem report of Livestock/Birds.
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Mortality record of Livestock.
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Other claims related documents required under merit basis of loss.