Get the free Claim-cum-discharge Form

This form is to be submitted for claims related to accidental disability or death under the Pradhan Mantri Suraksha Bima Yojana. It captures essential details of the insured member, the accident, and the nominee or claimant, along with required documentation to support the claim.

How to fill out claim-cum-discharge form

How to fill out claim-cum-discharge form

1. Obtain a claim-cum-discharge form from the relevant authority or website.
2. Fill in your personal details, such as name, address, and contact information.
3. Enter the policy number associated with your claim.
4. Provide details of the claim, including the date and type of the incident.
5. Attach any required documents, such as proof of loss or medical reports.
6. Sign the form to verify that the information provided is accurate and complete.
7. Submit the filled form and supporting documents to the designated department.

Who needs claim-cum-discharge form?

1. Individuals who have a valid insurance policy and are filing a claim.
2. Beneficiaries of the policyholder who need to claim benefits after the policyholder's passing.
3. Policyholders requiring reimbursement for covered expenses.

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What is claim-cum-discharge form?

The claim-cum-discharge form is a legal document used to file a claim for benefits while simultaneously discharging the insurer from any further liability once the claim has been resolved.

Who is required to file claim-cum-discharge form?

Individuals or entities who are beneficiaries of an insurance policy and wish to claim benefits under that policy are required to file the claim-cum-discharge form.

How to fill out claim-cum-discharge form?

To fill out the claim-cum-discharge form, provide personal details, policy information, the nature of the claim, attach required documents, and sign the form to affirm the accuracy of the information.

What is the purpose of claim-cum-discharge form?

The purpose of the claim-cum-discharge form is to facilitate the claims process by formally documenting the claim being made and confirming the discharge of the insurer’s liability upon payment of that claim.

What information must be reported on claim-cum-discharge form?

The form generally requires reporting personal details, policy number, description of the claim, amount being claimed, and supporting documents such as receipts or medical reports.