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. Bajaj Allianz Life Insurance Forms are available here to download. c. To be filled by the hospital in concern Page 3. These Bajaj Allianz Life Forms and Documents helps you to buy the policy and to apply for the claim. Download e-Claim Form: Public Liability Policy. Office: Akurdi, Pune-411035. 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. A reference number is provided after the claim is successfully registered, and it should be used in all future emails / forms / correspondence. Motor Claim Form - Bajaj Allianz. Sample Claim form-Reimbursement . Fill and submit this form to the Bajaj Allianz Cliam … Bajaj Allianz Car Insurance Claim. The Bajaj Allianz car insurance claims process can be completed in 3 easy steps, which are as follows:. Sample Claim form-Reimbursement . 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 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. Download Claim Form for Health For Intimation of Claim, please call (Toll Free) at 1 600 22 5858. Please check your claim status online. This form can be used when you want to file for a Claim of an Accident according to the Policy guidelines. Register the Claim. Bajaj Allianz General Insurance Company Limited. : 1800-209-5858 Claim Assistance Email: customercare@bajajallianz.co.in Download Claim Form for Motor. Important Instructions : a. Police Panchanama/FIR ( In case of Third Party property damage /Death / Body Injury) 5. MOTOR INSURANCE CLAIM FORM. To buy Bajaj Allianz policy, Bajaj Allianz Life Insurance proposal form is used. Please do not leave any column unanswered. Comment. Bajaj Finance Limited Regd. Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006 Toll Free No. Copy of Motor Driving Licence [with original] of the person driving the vehicle at the material time 4. Click to see or download Download Policy Wordings, Brochures, Claim Forms, Prospectus of all products with the list of premium sheet. with this claim form Total hospitalization bill Signature of the policyholder . 14 downloads 223 Views 675KB Size Report. Download Claim Form: Download e-Claim Form: Individual Personal Accident. b. Title claim form-sample Author: Dhiraj Das Created Date: Download PDF . 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