Personal Accident

• Copy of FIR (filed with the local police authorities) 
• Claim Form (to be filled and signed by insured)
• Release of Medical Information Form (ROMIF) BAJAJ and AGA (to be filled and signed by insured) to obtain the medical records from facility 
• Medical records/Consultation Papers/Investigation Reports in case any hospitalization 
• Death certificate/Post Mortem report in case its conducted (In case of Death)   
• Certificate from Civil surgeon certifying the extent and percentage of disability (For Disability claims) 
• NEFT form and Cancelled cheque stating insured’s (nominee in case of death claim) Claimant Indian Bank account details 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Medical Expenses

• Claim Form (to be filled and signed by insured)   
• Attending Physician Statement (to be filled and signed by overseas treating doctor) 
• Release of Medical Information Form (ROMIF) BAJAJ and AGA (to be filled and signed by insured) to obtain the medical records from facility 
• Medical records/Consultation Papers/Investigation Reports 
• Invoices / Bills towards medical expenses. 
• Original Paid receipts (hardcopy) in case of reimbursement claim. 
• NEFT Form and Cancelled cheque stating insured’s / Claimant Indian Bank account details (for reimbursement claim). 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India. 
• Deductible amount as per policy schedule to be issued with DD/ Cheque in favour of Bajaj Allianz General Insurance Company Ltd (in case of complete cashless subject to confirmation of admissibility from “Us”. In case inability to provide deductible amount from insured same can be deducted from your cashless bill.

Medical Evalution

• Claim Form (to be filled and signed by insured) 
• Attending Physician Statement (to be filled and signed by overseas treating doctor) 
• Release of Medical Information Form (ROMIF) BAJAJ and AGA (to be filled and signed by insured) to obtain the medical records from facility 
• Medical records/Consultation Papers/Investigation Reports 
• Invoices / Bills towards medical expenses. 
• Original Paid receipts (hardcopy) in case of reimbursement claim. 
• Form and Cancelled cheque stating insured’s / Claimant Indian Bank account details (for reimbursement claim).
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India. 
• Deductible amount as per policy schedule to be issued with DD/ Cheque in favour of Bajaj Allianz General Insurance Company Ltd (in case of complete cashless subject to confirmation of admissibility from “Us”. In case inability to provide deductible amount from insured same can be deducted from your cashless bill.

Repartiration

• Claim Form (to be filled and signed by assignee) 
• Invoices / Bills towards medical expenses. 
• Original Paid receipts (hardcopy) in case of reimbursement claim 
• Death certificate/Post Mortem report/ Certificate of emblem in case its conducted 
• NEFT Form and Cancelled cheque stating assignee‘s Indian Bank account details (for reimbursement claim.)
• Cancelled passport and Visa copy

Dental Treatment

•  Claim Form (to be filled and signed by insured) 
•  Attending Physician Statement (to be filled and signed by overseas treating doctor) 
•  Medical records/Consultation Papers/Investigation Reports 
•  Invoices / Bills towards medical expenses.   
• Original Paid receipts (hardcopy) in case of reimbursement claim 
• NEFT Form and Cancelled cheque stating insured’s / Claimant Indian Bank account details 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Loss of checked in Baggage

• Claim Form (to be filled and signed by insured) 
• PIR report (Property Irregularity Report) (to be obtained from the airline authorities) 
•  Letter from the airlines accepting the liability for loss 
• Proof of compensation received form airlines 
• Proof of items valued more than INR 6000 
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Delay of Checked in baggage

• Claim Form (to be filled and signed by insured) Copies of Boarding Pass/Ticket/Baggage Tags. 
• Copies of correspondence with the Airline authorities/others certifying the delay & actual date and time of delivery of baggage. 
• PIR report (Property Irregularity Report) (to be obtained from the airline authorities). 
• Ticket Itinerary 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India.

Loss of Passport

• Duly Signed Claim Form stating exact circumstances of loss. 
• Copy of FIR (first information report)/Police Report. 
• Receipts related to expenses incurred to obtain a new passport 
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details 
• New passport copy or certificate of travel issued.

Personal liability

• Claim Form (to be filled and signed by insured) 
• Detailed self explanatory note stating scenario arises in to third party loss 
• Court order or any judicial order received against the compensation. 
• Invoices / Bills supporting the claim amount 
• Original Paid receipts if paid (hardcopy) in case of reimbursement claim 
• NEFT Form and Cancelled cheque stating insured’s / Claimant Indian Bank account details 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Accidental Death & Dismemberment (Common Carrier)

• Copy of FIR (filed with the local police authorities) 
• Claim Form (to be filled and signed by insured)
• Release of Medical Information Form (ROMIF) BAJAJ and AGA (to be filled and signed by insured) to obtain the medical records from facility 
•  Medical records/Consultation Papers/Investigation Reports in case any hospitalization 
• Death certificate/Post Mortem report in case its conducted (In case of Death) 
• Certificate from Civil surgeon certifying the extent and percentage of disability (For Disability claims) 
• NEFT form and Cancelled cheque stating insured’s (nominee in case of death claim) Claimant Indian Bank account details 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Hijack

• Claim Form (to be filled and signed by insured) 
• NEFT Form and Cancelled cheque stating insured’s / Claimant Indian Bank account details. 
• Passport and Visa copy exit Stamp from India

Trip Delay

• Claim Form (to be filled and signed by insured) 
• Letter from the airlines stating reason and duration of delay. 
• Ticket Itinerary 
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Hospitalization Daily Allowance.

• This benefit shall be extended if the claim under medical expense section 2 is admissible and hospitalization is for completed 24 hours.

Golfer’s Hole-inone

• Claim Form (to be filled and signed by insured) 
• NEFT Form and Cancelled cheque stating insured’s / Claimant Indian Bank account details. 
• Certificate from Golfer Association stating game points 
• Passport and Visa copy exit Stamp from India 
• Claim Form (to be filled and signed by insured) 
• Hospitalization discharge summary/consultation papers of insured if applicable. 
• All bills and payment receipts towards transportation and lodging(incurred overseas) if applicable.
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details. 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India 
• Invoices / Bills supporting the claim amount 
• Certificates from overseas billers regarding cancellation charges if applicable. 
• Death certificate in case of death 
• Letter from the airlines stating reason for cancellation.

Trip Curtailmen

• Claim Form (to be filled and signed by insured) Hospitalization discharge summary/consultation papers of insured if applicable. 
• All bills and payment receipts towards transportation and lodging(incurred overseas) if applicable. 
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details.  Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India. 
• All bills and payment receipts towards transportation and lodging in overseas. 
• Certificate from overseas biller regarding cancellation charges
• Death certificate in case of death

Home Burglary Insurance

• Claim Form (to be filled and signed by insured) 
• Covering Letter detailing full statement of the facts of the incidence of theft. 
• Copy of FIR (filed with the local police authorities) 
• Details of local investigation and survey of loss in case carried out by insured. 
• Details of any insurance covering same loss 
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Emergency Cash Benefit

• Claim Form (to be filled and signed by insured) 
• Covering Letter detailing full statement of the facts of the incident and overseas bank details. 
• Copy of FIR (filed with the local police authorities) 
• Details of local contact / relative in India who would arrange for the amount 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Bail Bond

• Claim Form (to be filled and signed by insured) 
• Copy of FIR (first information report) 
• Copy of the court order and proof of payment of the bail bond.
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Loss of Laptop

• Claim Form – (to be filled and signed by insured) 
• Copy of FIR (first information report) stating the circumstance of the loss. 
• Original bill of purchase for the laptop.   
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Tuition Fees

• Claim Form (to be filled and signed by insured) 
• Copy of Receipt towards the advance payment of tuition fee 
• Letter regarding the inability of the student to continue semester duly acknowledged by the school 
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Missed connection

• Claim Form (to be filled and signed by insured) 
• Letter from the airlines stating reason and duration of delay. 
• Ticket Itinerary 
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Difference in airfare due to delayed or early return

• Claim Form (to be filled and signed by insured) Hospitalization discharge summary/consultation papers of insured if applicable. 
• All bills and payment receipts towards transportation
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details.  
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India. 
• Both ticket itineraries (Old and new) 
• Medical document and discharge summary stating hospitalization details and need for pre or postponement of Trip.
• Death certificate in case of death

Bounced Hotel

• Claim Form (to be filled and signed by insured) 
• Proof against hotel booking Details 
• Letter from Hotel mentioning reason for non accommodation and compensation received (if any)
• Bills/invoices and receipt raised against the accommodation or transportation 
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details 
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Personal Accident Cover in India

• Copy of FIR (filed with the local police authorities) 
• Claim Form (to be filled and signed by insured) 
• Medical records/Consultation Papers/Investigation Reports in case any hospitalization 
• Death certificate/Post Mortem report in case its conducted (In case of Death) 
• Certificate from Civil surgeon certifying the extent and percentage of disability (For Disability claims) 
• NEFT form and Cancelled cheque stating insured’s (nominee in case of death claim) Claimant Indian Bank account details 
• Passport and Visa copy

Accident to Sponsor

• Duly Signed Claim Form detailing exact circumstances
• Medical records /Consultation Papers/Investigation Reports of hospitalisation of sponsor
• Letter from school authority stating about the balance tuition fee for the course 
• Death certificate of the sponsor in case deceased
• NEFT form and Cancelled cheque stating insured’s / Claimant Indian Bank account details
• Passport and Visa copy with Entry Stamp Overseas and exit Stamp from India

Family Visit (for Students only)

• Duly filled Medical sickness or  Personal Accident claim form
• Certificate from the doctor treating the insured mentioning the requirement of necessary attendant & reasons for the same Travel tickets in original along with  the copy of the visa & passport

Personal Liability

• Duly filled in claim form
• Full statement of the facts in writing
• Witness statements
• Any other documents relevant to the incident, including Summons, Legal Notice, etc
• Accidental Death & Dismemberment (Common Carrier)
• Our Claims Dept. will advise on documentation upon receipt of claim notification