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NON-MOTOR CLAIM FORM BROKER POLICY NUMBER INFORMATION TO BE SUPPLIED BY THE INSURED (PLEASE ANSWER QUESTIONS FULLY) THE INSURED Name and age ID number Physical address Occupation or business Contact

How to fill out non motor claim form

How to fill out a non motor claim form:

1. Begin by carefully reading through the form and familiarizing yourself with all the sections and requirements.
2. Start by providing your personal details such as your name, contact information, and policy number. Make sure to double-check the accuracy of this information.
3. Next, provide a detailed explanation of the incident or the reason for filing the non motor claim. Be clear and concise in describing what happened and provide any relevant supporting documentation such as photographs or videos if available.
4. If there were any witnesses to the incident, include their contact details and a brief statement from them if possible.
5. If any third parties were involved, provide their information as well. This includes their name, contact details, and any insurance information they may have.
6. In the financial details section, accurately document the estimated cost of the damages or losses incurred. This may include repair or replacement costs, medical expenses, or any other relevant expenses.
7. If there were any emergency services involved or if you needed medical attention, document those details as well, including the names of any healthcare providers or emergency personnel.
8. Review the completed form thoroughly for any errors or omissions before submitting it. It's essential to ensure all the required information has been provided and that everything is legible.
9. Signature and date the form to certify that all the information provided is true and accurate to the best of your knowledge.
10. Keep a copy of the completed form for your records.

Who needs a non motor claim form:

1. Individuals who have experienced damage or loss that is not related to a motor vehicle accident may need to fill out a non motor claim form. This could include incidents such as theft, fire damage, property damage, or personal injury that occurred outside of a motor vehicle.
2. Insurance policyholders who have coverage for non motor claims may be required to complete a non motor claim form by their insurance provider.
3. Depending on the specific circumstances, individuals may need to provide this form to their insurance company, employer, or any other relevant parties to initiate the claims process and seek compensation or reimbursement for the incurred damages or losses.

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What is non motor claim form?

Non motor claim form is a document used to report claims for damages or losses that are not related to a motor vehicle.

Who is required to file non motor claim form?

Anyone who has experienced damages or losses that are not related to a motor vehicle is required to file a non motor claim form.

How to fill out non motor claim form?

To fill out a non motor claim form, you need to provide detailed information about the damages or losses incurred, along with supporting documents such as receipts or photographs.

What is the purpose of non motor claim form?

The purpose of a non motor claim form is to formally document and report damages or losses that are not related to a motor vehicle, in order to initiate the claims process.

What information must be reported on non motor claim form?

The information reported on a non motor claim form typically includes details about the incident, the extent of damages or losses, and any supporting documentation.