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This document serves as a form for individuals entitled to receive policy benefits after the death of a life assured, outlining required information, documents, and procedures for claim submission.
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How to fill out death claim intimation

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How to fill out DEATH CLAIM INTIMATION - CUM - CLAIMANT’S STATEMENT

01
Obtain the DEATH CLAIM INTIMATION - CUM - CLAIMANT’S STATEMENT form from the relevant insurance provider or download it from their website.
02
Fill in the personal details of the deceased, including name, date of birth, and date of death.
03
Provide the policy number of the insurance policy associated with the deceased.
04
Complete the claimant's information, including name, relationship to the deceased, contact information, and address.
05
Attach a copy of the death certificate or any other required documents to verify the death.
06
Provide details of the deceased's medical history, if requested by the insurer.
07
Review all provided information for accuracy and completeness.
08
Sign and date the form where indicated.
09
Submit the completed form and any attachments to the insurance company.

Who needs DEATH CLAIM INTIMATION - CUM - CLAIMANT’S STATEMENT?

01
Beneficiaries or claimants of an insurance policy who are seeking to claim benefits following the death of the insured individual.
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Step-by-Step Death Claim Letter Format for Bank Reason for writing (informing of death) Name of the deceased, account number. Your relation (nominee/legal heir) Request for claim settlement. List of enclosed documents (death certificate, ID proof, etc.)
I the undersigned __ of Shri/Smt. _ here by inform you about the death of my. I request you to settle the death claim under his policy no. at the earliest in my favour being the nominee of the above no.
Supporting documents, including the death certificate, identification proof, and any other requested documents, must be submitted along with the claim forms. The insurance company reviews the claim forms and supporting documents to verify the authenticity of the claim and assess its validity.
DOCUMENTS REQUIRED: As a matter of general rule following documents are required in all cases of death claim: i. Death Certificate. ii. Application for Deceased claim(Annexure I) /Estate claim form (Annexure II) duly filled in by the legal heirs/claimants.
Whether the Claimant left a valid Will or dies intestate (without a valid Will), an application would need to be made for probate, where a named 'executor' or 'administrator of the estate' manages the claimants estate.
Sample Death Claim Letter Format for Bank I am writing to inform you about the unfortunate demise of [Deceased's Name], who held a savings/current account (Account No. [XXXXXXXXXX]) with your branch. I am the registered nominee/legal heir. I kindly request you to settle the account and release the funds in my favour.
A claimant's statement is a formal document submitted to an insurance company to request the disbursement of benefits following the death of a policyholder. It includes details about the deceased, the beneficiary, and relevant claim information.
In insurance, a death claim refers to the process by which the beneficiaries or nominees of an insurance policy receive the sum assured or death benefit from the insurance company upon the death of the policyholder.

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DEATH CLAIM INTIMATION - CUM - CLAIMANT’S STATEMENT is a formal document that notifies the insurance company or relevant authority about the death of the insured person and allows the claimant to initiate the process of claiming the insurance benefits.
Typically, the legal heirs or nominated beneficiaries of the deceased are required to file the DEATH CLAIM INTIMATION - CUM - CLAIMANT’S STATEMENT.
To fill out the DEATH CLAIM INTIMATION - CUM - CLAIMANT’S STATEMENT, the claimant should provide details such as the name of the deceased, policy number, date of death, details of the claimant, and any additional information required by the insurance company.
The purpose of DEATH CLAIM INTIMATION - CUM - CLAIMANT’S STATEMENT is to formally inform the insurance company of the insured's death and to initiate the claims process to facilitate the disbursement of the insurance benefit to the rightful claimant.
The information that must be reported includes the name and details of the deceased, the policy details, the date of death, details of the claimant, any relevant identification documents, and any additional information as specified by the insurance company.
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