Bajaj Finance Limited Regd. Bajaj Allianz General Insurance Company Limited. Bajaj Allianz Car Insurance Claim. For Intimation of Claim, please call (Toll Free) at 1 600 22 5858. For Intimation of Claim, please call (Toll Free) at 1 600 22 5858 MOTOR INSURANCE CLAIM FORM THE ISSUE OF THIS FORM IS NOT TO BE TAKEN AS AN ADMISSION OF LIABILTY 1. b. Copy of Motor Driving Licence [with original] of the person driving the vehicle at the material time 4. Office: Akurdi, Pune-411035. Claim form is to be filled in capital letter & signed by the insured. Sample Claim form-Reimbursement . Please check your claim status online. Fill and submit this form to the Bajaj Allianz Cliam … These Bajaj Allianz Life Forms and Documents helps you to buy the policy and to apply for the claim. Register the Claim. Once a claim is registered for repair work after an accident, the surveyor appointed by the company will inspect the car and estimate the cost of repairs. Please do not leave any column unanswered. To buy Bajaj Allianz policy, Bajaj Allianz Life Insurance proposal form is used. To be filled by the hospital in concern Page 3. (for individual claims) *Note: (Policy No is mandatory with any one of other two search criteria's) Title claim form-sample Author: Dhiraj Das Created Date: Download PDF . Click to see or download Download Policy Wordings, Brochures, Claim Forms, Prospectus of all products with the list of premium sheet. Police Panchanama/FIR ( In case of Third Party property damage /Death / Body Injury) 5. IRDAI Corporate Agency Registration Number Once an incident involving the insured car has occurred, immediately call the Bajaj Allianz customer care and register the claim using the Toll Free Number 1800-209-5858. A reference number is provided after the claim is successfully registered, and it should be used in all future emails / forms / correspondence. Is your claim already registered with us? Bajaj Allianz Car Insurance Claim The purpose of buying any kind of insurance is incomplete if you are not aware of the company’s claim process. Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006 Toll Free No. Sample Claim form-Reimbursement . Bajaj Allianz Life Insurance Forms are available here to download. MOTOR INSURANCE CLAIM FORM. c. Important Instructions : a. Download e-Claim Form: Public Liability Policy. The Bajaj Allianz car insurance claims process can be completed in 3 easy steps, which are as follows:. Motor Claim Form - Bajaj Allianz. Corporate Identity Number (CIN): L65910MH1987PLC042961. 14 downloads 223 Views 675KB Size Report. with this claim form Total hospitalization bill Signature of the policyholder . Sample Claim form-Reimbursement . Comment. : 1800-209-5858 Claim Assistance Email: customercare@bajajallianz.co.in Download Claim Form for Motor. Download Claim Form: Download e-Claim Form: Individual Personal Accident. 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