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How to intimate health claim with Bajaj Allianz General Insurance
Claim form duly completed and signed by the claimant.
Final Hospital Discharge Summary in original / self attested copies if the originals are submitted with another insurer.
Final Hospital Bill in original / self attested copies if the originals are submitted with another insurer.
Original consultation notes and / or investigation reports from outside the Hospital prior to Hospitalization
Copy of First Information Report (FIR) / Panchnama duly attested by the concerned police station (if Critical Illness being claimed for is admissible in event of an Accident)
Copy of Medico Legal Certificate duly attested by the concerned Hospital. (if Critical Illness being claimed for is admissible in event of an Accident)
Copy of First Information Report (FIR) / Panchnama duly attested by the concerned police station (if Hospital Cash being claimed for is admissible in event of an Accident)
Copy of Medico Legal Certificate duly attested by the concerned Hospital. (if Hospital Cash being claimed for is admissible in event of an Accident)
Original Death Certificate (issued by the office of Registrar of Births and Deaths)
Copy of First Information Report (FIR) / Panchnama duly attested by the concerned police
station
Copy of Medico Legal Certificate duly attested by the concerned Hospital.
Income proof of the Proposer - Last three months Salary Slip OR Last year’s ITR / Form 16, Employers Certificate, Audited Accounts
Hospital Discharge Summary (in original) / self attested copies if the originals are submitted with another insurer.
Final Hospital Bill (in original) / self attested copies if the originals are submitted with another insurer. Medical consultations and investigations done from outside the Hospital.
Original certificate of Disability issued by a Medical Board duly constituted by the Central and the State Government.
Copy of First Information Report (FIR) / Panchnama duly attested by the concerned police station
Income proof of the Proposer- Last three months Salary Slip OR Last year’s ITR / Form 16, Employers Certificate, Audited Accounts