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Documents Required for Claim

Sagarmatha Insurance Company Limited
Bhagwati Marg, Naxal, Kathmandu

Basic Documents Required for Claim Settlement:

Claim Under  Motor Insurance

  • Claim form duly completed and signed.
  • Estimates of repairs and replacement of the affected vehicle/property from dealer/workshop.
  • Photographs of the damaged vehicle/property showing number plate and damages distinctly.
  • Statement of driver on the wheel at the time of accident and copy of his valid driving license book.
  • Notification of the loss to police & their report.
  • Copy of whole set of valid registration book of the damaged vehicle.
  • Copy of Route permit & Janch Pass of the vehicle valid at the time of accident.
  • Load chalan /Passenger chalan of the vehicle related to the time of accident.
  • Bill & Cash Memo related to the repair and replacement of the damaged vehicle/property.
  • Other claims related documents required under merit basis of loss.


In case of Third Party /Passenger/Staff‘s Bodily Injury

  • Complete sets of medical papers including doctor’s prescriptions, Medical cash memos, Pathological reports, Admission & Discharge Ticket & other treatment related medical documents.
  • Aattested copy of Milapatra and all other claims related documents as needed.


In case of Third Party /Passenger/Staff‘s  Death

  • Copy of Abhiyog Patra.
  • Letter issued from CDO office to release compensation.
  • Attested copy of Court Decision, if any.
  • Postmortem Report and Death Certificate, Ghatanasthal/Lash Janch Prakriti Muchulka.
  • Copy of Legal Heir Certificate and Citizenship of deceased & legal heir.
  • Claim letter served upon you by third party.
  • Copy of Payment Receipt/Milapatra and all other claims related documents as needed.

 
Claim Under  Personal Accident/Health Insurance

  • Claim form duly completed and signed.
  • Complete sets of medical papers including doctor’s prescriptions, Medical cash memos, Pathological reports, Admission & Discharge Ticket & other treatment related medical documents.
  • Medical certificate duly filled and signed by attending doctor.
  • Date of duty resumed by the employee after the accident including copy of approved leave form.
  • Copy of Monthly Salary/Payroll of the injured person.
  • Doctor’s prescriptions & cash memos for the medicine purchased.
  • Hospitalization Reports including Discharge Certificate with Pathological Reports including X-ray Plates.
  • Copy of Autopsy (Postmortem) Report.
  • Copy of Death Certificate.
  • Copy of Legal Heir Certificate and Citizenship of deceased & legal heir.
  • Copy of notification of loss to police and their investigation report.
  • Copy of Court Decision, Ghatanasthal Muchulka..
  • Other claims related documents required under merit basis of loss.


Claim Under  Property/Engineering Insurance

  • Claim form duly completed and signed.
  • Cost estimation of repair & replacement for the affected property.
  • Statement of the watchman on duty at the time of theft/loss.
  • Statement of Supervisor/Engineer on duty at the time of loss.
  • Hydrology & Metrology report.
  • Copy of notification of loss to police and their investigation report.
  • Fire brigade report specifying the cause of loss.
  • Stock book of the affected property prepared prior to loss.
  • Copy of Bill of Quantity (BOQ).
  • Certification of losses from principal and/or consultants.
  • Other claims related documents required under merit basis of loss.


Claim Under  Marine Insurance

  • Claim form duly completed and signed.
  • Itemised Estimate for repairs/replacements.      
  • Bill of Lading.
  • Shipper’s Invoice original or certified.
  • Packing slip/Weight certificates.
  • Copy of Declaration/Monthly report.
  • Original certificate/Policy of insurance duly endorsed.
  • Claim statement.
  • Consignees Statement of facts.
  • Consignment Notes.
  • Claim against Carrier/Other responsible Parties.
  • Claim against the Responsible Carrier inviting inspection when damage exits.
  • Carrier’s reply or Acknowledgement card.
  • Carrier’s confirmation of Non-Delivery.
  • Delivery receipt issued by Dock/Other Carrier.
  • Exceptions issued by Inland Carriers, Warehouse or Consignees etc.
  • Custom consumption entry.
  • Pragyapan Patra.
  • Original Receipted Bill of Sale.
  • Copy of Assured’s notification of loss to police.
  • Receipted Bills for repairs/replacements.
  • Proof of Loss.
  • Driver’s Statement.
  • Interchange Container Report.
  • Container Stuffing Tally.
  • Police Report of the vehicle accident.
  • Custom Transit Declaration.
  • Other claims related documents required under merit basis of loss.

Claim Under Agriculture Insurance

  • Claim form duly completed and signed.
  • Prabidhik(Technical person)’s report.
  • VDC/Municipality report about loss.
  • Police report/Muchulka about loss.
  • Copy of Lalpurja/Agreement paper.
  • Copy of VAT/PAN Registration.
  • Copy of Company Registration.
  • Copy of Citizenship certificate.
  • Treatment related documents of Livestock/Birds.
  • Post mortem report of Livestock/Birds.
  • Mortality record of Livestock.
  • Other claims related documents required under merit basis of loss.

Contact Detail

Sagarmatha Insurance Co. Ltd.

"Surakshan" Bhawan, Bhagwati Marg, Naxal, Kathmandu

P.O.Box 12211, Kathmandu, Nepal
Phone: +977-1-4529043, +977-1-4529042
Fax: +977-1-4512378
info@sagarmathainsurance.com.np