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CLAIM INTIMATION Come CLAIMANTS STATEMENT (CRITICAL ILLNESS RIDER / MAJOR SURGERY ASSISTANCE RIDER) (Format : AP) Guidelines/ Notes: 1. The benefit is payable subject to the policy being enforced

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How to fill out claimants statement cum intimation

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To fill out the claimants statement cum intimation form, follow these steps:

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Start by entering your personal information, such as your full name, address, contact details, and identification number.

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Provide details about the incident or accident that occurred, including the date, time, and location.

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Mention the nature and extent of the damage, injury, or loss suffered.

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Describe the events leading up to the incident, including any involved parties or witnesses.

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Attach any supporting documents, such as photographs, medical reports, or police reports related to the incident.

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Review the form to ensure all information is accurate and complete.

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Once satisfied, sign and date the form to acknowledge the accuracy of the provided information.

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Submit the claimants statement cum intimation form to the appropriate authority or insurance company.

Who needs claimants statement cum intimation?

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Anyone who wishes to file a claim for an insurance policy or seek compensation for a loss, damage, or injury may need to fill out a claimants statement cum intimation form.

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What is claimants statement cum intimation?

Claimants statement cum intimation is a form or document submitted by a claimant to inform the relevant authority about the claim and to provide relevant details.

Who is required to file claimants statement cum intimation?

The claimant or their legal representative is required to file the claimants statement cum intimation.

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The claimants statement cum intimation should be filled out carefully and completely with all the required information about the claim.

What is the purpose of claimants statement cum intimation?

The purpose of claimants statement cum intimation is to officially notify the relevant authority about the claim and provide necessary details.

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The claimants statement cum intimation should include information such as claimant's details, claim details, date and circumstances of the claim, supporting documents, etc.

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