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Claim Form A |
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To be filled in completely and signed by the nominee/claimant and witness.
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Claim Form B |
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To be filled in completely by Medical Attendant who treated the Life assured till his death and witness.
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Claim Form C |
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Identity Certificate to be completed by any person other than a relative who attended burial/cremation and witness.
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Claim Form E |
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Employers Certificate if the deceased was employed, furnishing details of leave availed by the policy holder on
sick grounds during last 3 years prior to policy to the date of death and witnesses. |
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All the claim forms should clearly contain the policy no or nos. |
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Note: If there are multiple policies and the Claimant / Nominee is only one for all the policies only one set of claim forms will suffice. If there are multiple policies and the Claimants / Nominees are different each Claimant / Nominee should send the claim forms separately duly filling the details. |
