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The New India Assurance Company Limited

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Deepanshu
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22 views1 page

The New India Assurance Company Limited

Uploaded by

Deepanshu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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THE NEW INDIA ASSURANCE COMPANY LIMITED

(A Government of India Undertaking)


Regd. & Head Office : New India Assurance Building,
87, Mahatma Gandhi Road, Bombay – 400 001.

PMKVY PERSONAL ACCIDENT INSURANCE CHECK LIST

FOR PERMANENT DISABLEMENT

1. Intimation Letter
2. Original Claim form duly filled and completed in every aspect
3. First Information Report (FIR)
4. Newspaper Cutting, if applicable
5. Authorized Doctor/Competent Authority of Govt. Hospital Certificate for confirming of the
type of disablement and percentage (%) of disablement.
6. Bank Details of the Insured.
7. Investigation reports like laboratory test, X-rays and reports essential for confirmation of the
injury.

FOR DEATH CLAIMS

1. Intimation Letter
2. Original Claim form duly filled/completed in every aspect and signed by the Nominee.
3. Original Death certificate on the prescribed format as per State Govt. issued by the
4. Competent Authority of Govt. Hospital.
5. Post Mortem Report, if applicable.
6. First Information Report (FIR)
7. Panchnama, if applicable.
8. Newspaper cutting, if applicable.
9. Photo ID proof of Nominee
10. Policy Document containing Certificate Holding No.
11. Bank Details of the Nominee of the Insured.
12. In respect of fatal claims the payment is to be made to the assignee named under the policy.
If there is no Nominee, the payment is made to the legal representative as identified by
Will/Probate/Letter of Administration/ Succession Certificate. Where the above documents
Are not available, the following procedure may be followed:-
(i) An affidavit from the claimant(s) that he/she (they) is (are) the legal heir(s) of the deceased.
(ii) An affidavit from other near family members of the deceased that they have no
Objection if the claim amount is paid to the claimant(s).
Surety bond executed by Gazetted Officers.

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