|
Complete all items in the attached claim form |
|
Attach the following documents : |
| For Accident Claims |
| 1. |
Copy of Vehicle Registration Book |
| 2. |
Copy of Driving License of the Person driving the vehicle at the time of accident |
| 3. |
Police FIR or Traffic Accident Report, if accident has been reported to the police |
| 4. |
Estimate of repairs from the Garage |
|
| For Theft Claims |
 |
1. |
Copy of Vehicle Registration Book |
| 2. |
Police FIR |
| 3. |
In case of Theft of entire car, the company would require Original RC Book and Car keys, Final Police Report, Dumping Yard certificate, RTO transfer papers, "No Objection" letter from Insured, a letter of indemnity and subrogation |
|
| For Motor Third Party Claims |
 |
1. |
Copy of Vehicle Registration Book |
| 2. |
Police FIR or Traffic Accident Report |
| 3. |
Legal notice received from Third Party and/or notice received from MACT (Motor Accident Claims Tribunal) |
| 4. |
Driving License of the Person driving the Vehicle at the time of accident |
|
| For Workmen's Compensation |
 |
1. |
Copy of Vehicle Registration Book |
| 2. |
Driving License of the Driver |
| 3. |
Workmen's Compensation Form completed in all respects |
| 4. |
Proof of wages paid to the Driver over the previous 12 months, or whatever lesser period, if period of employment is less than 12 months |
| 5. |
Medical certificate, medical papers, disability certificate from surgeon, or municipal hospital |
| 6. |
In the event of death, coroner's report or post mortem report & Death Certificate |
|
| For Personal Accident Claims |
 |
1. |
Copy of Vehicle Registration Book |
| 2. |
Driving License of the Owner-Driver |
| 3. |
Police FIR or Traffic Accident Report |
| 4. |
Medical certificate, medical papers, disability certificate from surgeon, or municipal hospital |
| 5. |
Personal Accident Claim Form |
| 6. |
In the event of death, coroner's report or post mortem report & Death Certificate |
|
|
|
|
For Accident Claims, the completed and signed claim form along with annexures should be given to the company's representative at the time of vehicle survey at the garage. |
|
For Other Claims, the claim form with annexures should be sent to our Claims Processing Cell at the following address : |
| |
| HDFC ERGO General Insurance Company Limited |
| 6th Floor, Leela Business Park, |
| Andheri Kurla Road, Andheri(East), |
| Mumbai-400059 |
|
|
Retain a copy of the documents sent for your records. |
|