Claim Procudure
    Claim Forms
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
Claim Procedure: Some Important Factors:
Some Important points to be kept in mind in the event of loss or damage indemnifiable under an insurance policy:
  Loss or damage should be reported to company immediately.
 On receipt of claim intimation, the company will appoint Govt. Licensed Surveyor to investigate / assess the loss.
 The claimant should extend full co-operation to the surveyors and provide all requisite details / documents as required the surveyors.
 On agreement of the loss amount an acceptance letter obtained and the survey report is issued.
 In case the loss is not established, it would for the insured to prove that the loss or damage had occurred due to the peril in insured.
 On finalization of the survey report, the claim settled.
Claim Reporting Procedure:
   Fire:
  • The Loss or damage should be reported to the company immediately
• All possible steps / measures be taken to mitigate / minimize the loss
• The Fire Brigade should be timely called.
• FIR may be lodged with the nearest Police Station
• To extend full co-operation and assistance to the surveyor appointed by the company for expeditious settlement of claim.
   Marine Import :
  • If a loss/damage is suspected before taking delivery of the consignment at the Port of discharge, the Local Shipping Agents as well as Insurers should be informed immediately to arrange a joint Survey of the consignment.
• All possible steps/measures be taken to mitigate/minimize the loss.
• The claimant should extend their full Co-operation to the Surveyors by providing Copies of Bill of lading- Shipping invoice- packing list- Bill of entry to the attending Surveyors immediately to record their findings.
• If shortages are caused due to Short Supply or wrong Supply, the insured should immediately take up the matter with their Suppliers.


• Insured to submit claim bill.
•Letter of Subrogation where necessary.
   Motor-Own Damage:
  • The Loss or damage should be reported to the company immediately
• Completed motor Accident Report Form
• Estimate of repairs
• Police report in cases involving death and bodily injury
• Motor Certificate of Insurance
• To extend full co-operation and assistance to the surveyor appointed by the company for expeditious settlement of claim.
• Satisfaction Note/Discharge Voucher to facilitate settlement

   Motor Theft:
  •The Loss or damage should be reported to the company immediately
•Completed Motor Theft Claim Form
•Original Vehicle License/Sworn Affidavit
•Purchase Receipt/ Performa Invoice
•Ignition/Boot Keys
•Police Reports (Interim and Final)
•Motor Insurance Certificate
•To extend full co-operation and assistance to the surveyor appointed by the company for expeditious settlement of claim.
•Discharge Voucher
   Burglary :
  • The Loss or damage should be reported to the company immediately
• Completed Burglary Claim Form
• Purchase Receipts of stolen items
• Police Report
• Internal Investigation Report
• Statement of Claims
• Estimate of repairs for damaged doors, etc
• To extend full co-operation and assistance to the surveyor appointed by the company for expeditious settlement of claim.
• Discharge Voucher
   Group Personal accident / Workman's Compensation :
  • The Loss or damage should be reported to the company immediately
• Completed Claim Form
• Excused Duty Certificates
• Discharge Certificates
• Medical Report
• Death Certificate
• Medical Expenses
• Pay Slips for 3 months immediately preceding the accident
   Motor Third Party :
  • The Loss or damage should be reported to the company immediately
• Completed Motor Accident Report Form
• Estimate of Repairs
• Evidence of Existence of Insurance Cover (Insurance Certificate)
• Statement of Claims, Medical Expenses, Loss of Use
• Death Certificate/Medical Report (if applicable)
• Power of Attorney
• Police Report in Cases of death or bodily injury
• To extend full co-operation and assistance to the surveyor appointed by the company for expeditious settlement of claim.
• Discharge Voucher
   Public Liability :
  • The Loss or damage should be reported to the company immediately
• Completed Claim Form
• Estimate of Repairs, if property
• Purchase of Receipt
• Statement of Claims
• Medical Report/Death Certificate
• Police Report
• Medical Expenses
• Power of Attorney
• Tax Clearance Certificate
• Write of Summons
• Correspondence from Solicitors
• To extend full co-operation and assistance to the surveyor appointed by the company for expeditious settlement of claim.
• Discharge Voucher
   Fidelity Guaratee :
  • The Loss or damage should be reported to the company immediately
• Completed Claim Form
• Internal Investigation Report
• Accounting Records to prove loss
• Police Report
• Names of Guarantors/Referees
• Terminal Benefits
• Court Proceedings
• To extend full co-operation and assistance to the surveyor appointed by the company for expeditious settlement of claim.
• Discharge Voucher
   Money :
  • The Loss or damage should be reported to the company immediately
• Completed Claims Form
• Police Report
• Statement of Claims
• Accounting Records in support of claim
• Internal Investigation Report
• Estimate/Purchase Receipts of sale(s), if covered
• To extend full co-operation and assistance to the surveyor appointed by the company for expeditious settlement of claim.
• Discharge Voucher
   Goods In Transit :
  • The Loss or damage should be reported to the company immediately
• Completed Claim form
• Location and status of salvage
• Particulars of driver
• Particulars of conveying/transit vehicle
• Delivery Way Bills
• Police Report
• Internal Investigation Report
• To extend full co-operation and assistance to the surveyor appointed by the company for expeditious settlement of claim.
• Discharge Voucher
© Reliance Insurance Company Limited