Death

• Duly Completed Personal Accident Claim Form signed by Nominee.
• NEFT Form
• Copy of address proof (Ration card or electricity bill copy).
• Attested copy of Death Certificate.
• Burial Certificate (wherever applicable).
• Attested copy of Statement of Witness, if any lodged with police authorities.
• Attested copy of FIR / Panchanama / Inquest Panchanama.
• Attested copy of Post Mortem Report (only if conducted).
• Attested copy of Viscera report if any (only if Post Mortem is conducted).
• Claim form with NEFT details & cancelled cheque duly signed by Insured
• Original Policy copy

Permanent Partial /Total Disablement /Temporary Total Disability

• Duly Completed Personal Accident Claim Form signed by insured.
• Attested copy of disability certificate from Civil Surgeon of Government Hospital stating percentage of   disability.
• Attested copy of FIR. (If required)
• All X-Ray / Investigation reports and films supporting to disablement.
• Claim form with NEFT details & cancelled cheque duly signed by Insured
• Original Policy copy.

Children’s education bonus

• Bonafide certificate from school / college or certificate from the educational institution

Hospital Confinement Allowance/ Accidental Hospitalisation Reimbursement

• First Consultation letter from the Doctor
• Duly completed claim form signed by the Claimant
• Hospital Discharge Card
• Hospital Bill giving detailed break up of all expense heads mentioned in the bill. Clear break ups have to be mentioned for OT Charges, Doctor’s Consultation and Visit Charges, OT Consumables, Transfusions, Room Rent, etc.
• Money Receipt, duly signed with a Revenue Stamp
• All original Laboratory and Diagnostic Test Reports. E.g. X-Ray, E.C.G, USG, MRI Scan, Haemogram etc.
• Other documents as may be required by Bajaj Allianz to process the claim.