This form can be used when you want to file for a Claim of an Accident according to the Policy guidelines. 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. (for individual claims) *Note: (Policy No is mandatory with any one of other two search criteria's) Register the Claim. 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. These Bajaj Allianz Life Forms and Documents helps you to buy the policy and to apply for the claim. The Bajaj Allianz car insurance claims process can be completed in 3 easy steps, which are as follows:. 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. A reference number is provided after the claim is successfully registered, and it should be used in all future emails / forms / correspondence. Sample Claim form-Reimbursement . Click to see or download Download Policy Wordings, Brochures, Claim Forms, Prospectus of all products with the list of premium sheet. Sample Claim form-Reimbursement . Download e-Claim Form: Public Liability Policy. Important Instructions : a. c. Sample Claim form-Reimbursement . Bajaj Allianz General Insurance Company Limited. Title claim form-sample Author: Dhiraj Das Created Date: MOTOR INSURANCE CLAIM FORM. Police Panchanama/FIR ( In case of Third Party property damage /Death / Body Injury) 5. Bajaj Allianz Car Insurance Claim. Download PDF . 14 downloads 223 Views 675KB Size Report. with this claim form Total hospitalization bill Signature of the policyholder . For Intimation of Claim, please call (Toll Free) at 1 600 22 5858. Download Claim Form for Health 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. The Bajaj Allianz Insurance forms include proposal forms and claims forms. IRDAI Corporate Agency Registration Number Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006 Toll Free No. Motor Claim Form - Bajaj Allianz. Corporate Identity Number (CIN): L65910MH1987PLC042961. Bajaj Allianz Life Insurance Forms are available here to download. Fill and submit this form to the Bajaj Allianz Cliam … Download Claim Form: Download e-Claim Form: Individual Personal Accident. Claim form is to be filled in capital letter & signed by the insured. : 1800-209-5858 Claim Assistance Email: customercare@bajajallianz.co.in Download Claim Form for Motor. Bajaj Finance Limited Regd. Comment. To buy Bajaj Allianz policy, Bajaj Allianz Life Insurance proposal form is used. 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