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Death CLAIM INTIMATION FORM INDIVIDUAL POLICY Claims AFFIX BRANCH SEAL Instruction for filling up the form ? This form is to be filled for ALL DEATH Claims Death of the Life Insured or Death of the
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How to fill out death claim intimation form

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How to fill out a death claim intimation form:

01
Obtain the death claim intimation form: The first step is to obtain the death claim intimation form from the insurance company or download it from their website.
02
Fill in the personal details: Start by providing your personal details such as your name, address, contact information, and policy number. Make sure to accurately fill in this information.
03
Mention the deceased's information: Provide the necessary details about the deceased, including their full name, date of birth, and policy number. If there is more than one policy, mention all policy numbers.
04
Specify the cause and date of death: Indicate the cause of death as accurately as possible, whether it's natural, accidental, or otherwise. Also, mention the date of death.
05
Attach supporting documents: Ensure you attach all the necessary supporting documents, such as the death certificate, FIR (if applicable), post mortem report (if applicable), and any other relevant documents as per the insurance company's requirements.
06
Fill in the beneficiary details: If you are the beneficiary, provide your full name, address, contact information, and relationship with the deceased. In case there are multiple beneficiaries, mention their details as well.
07
Provide bank account details: Include your bank account details for the insurance company to transfer the claim amount. This includes the bank name, branch, account number, and IFSC code.
08
Signature and submission: After thoroughly reviewing the form for accuracy, sign the document in the designated space. Submit the form along with the necessary supporting documents to the insurance company either physically or through online means.

Who needs death claim intimation form:

01
Policyholders: Any individual who had an active insurance policy at the time of their death will require a death claim intimation form.
02
Beneficiaries: The legal beneficiaries of the deceased, who are entitled to receive the claim amount, also need to fill out the death claim intimation form.
03
Legal representatives: In the absence of beneficiaries or if the deceased had not nominated any beneficiaries, the legal representatives of the deceased, such as the executor of the will or the legal heir, may be required to fill out the form.
Please note that the specific requirements for who needs to fill out the death claim intimation form may vary depending on the terms and conditions of the insurance policy and the insurance company's guidelines. It is advisable to consult the insurance company or read the policy document for clarity.
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The death claim intimation form is a document used to inform the insurance company about the death of the policyholder and initiate the claim process.
Beneficiaries or legal representatives of the deceased policyholder are required to file the death claim intimation form.
The form can be filled out with details of the deceased policyholder, cause of death, policy details, and other required information. It is important to provide accurate information to expedite the claim process.
The purpose of the death claim intimation form is to notify the insurance company about the death of the policyholder and request the claim settlement.
The form may require details such as policy number, date of death, cause of death, relationship of the claimant to the deceased, and any additional documents like death certificate.
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