Once an incident involving the insured car has occurred, immediately call the Bajaj Allianz customer care and register the claim using the Toll Free Number 1800-209-5858. Is your claim already registered with us? Sample Claim form-Reimbursement . Download e-Claim Form: Public Liability Policy. Title claim form-sample Author: Dhiraj Das Created Date: Bajaj Allianz Life Insurance Forms are available here to download. Download Claim Form for Health Sample Claim form-Reimbursement . 14 downloads 223 Views 675KB Size Report. Claim form is to be filled in capital letter & signed by the insured. Download Claim Form: Download e-Claim Form: Individual Personal Accident. Corporate Identity Number (CIN): L65910MH1987PLC042961. A reference number is provided after the claim is successfully registered, and it should be used in all future emails / forms / correspondence. This form can be used when you want to file for a Claim of an Accident according to the Policy guidelines. To buy Bajaj Allianz policy, Bajaj Allianz Life Insurance proposal form is used. Motor Claim Form - Bajaj Allianz. The Bajaj Allianz car insurance claims process can be completed in 3 easy steps, which are as follows:. Please do not leave any column unanswered. Click to see or download Download Policy Wordings, Brochures, Claim Forms, Prospectus of all products with the list of premium sheet. Police Panchanama/FIR ( In case of Third Party property damage /Death / Body Injury) 5. Bajaj Allianz Car Insurance Claim The purpose of buying any kind of insurance is incomplete if you are not aware of the company’s claim process. MOTOR INSURANCE CLAIM FORM. Copy of Motor Driving Licence [with original] of the person driving the vehicle at the material time 4. : 1800-209-5858 Claim Assistance Email: customercare@bajajallianz.co.in Download Claim Form for Motor. c. b. To be filled by the hospital in concern Page 3. Important Instructions : a. Register the Claim. Sample Claim form-Reimbursement . (for individual claims) *Note: (Policy No is mandatory with any one of other two search criteria's) Once a claim is registered for repair work after an accident, the surveyor appointed by the company will inspect the car and estimate the cost of repairs. Please check your claim status online. Bajaj Allianz General Insurance Company Limited. The Bajaj Allianz Insurance forms include proposal forms and claims forms. Office: Akurdi, Pune-411035. These Bajaj Allianz Life Forms and Documents helps you to buy the policy and to apply for the claim. For Intimation of Claim, please call (Toll Free) at 1 600 22 5858. For Intimation of Claim, please call (Toll Free) at 1 600 22 5858 MOTOR INSURANCE CLAIM FORM THE ISSUE OF THIS FORM IS NOT TO BE TAKEN AS AN ADMISSION OF LIABILTY 1. Bajaj Allianz Car Insurance Claim. Download PDF . 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