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Claim Intimation Form

Claim Intimation Form (Fire, Health & Others)

General Information Common to all Lines of Business
Insured’s Details
Policy Details
Loss Details
Survey Details

ADDITIONAL INFORMATION COMMON TO ALL LINES OF BUSINESS

FIR / Injury Details

Claim Intimation Form (Motor & Marine)

General Information Common to all Lines of Business
Insured’s Details
Policy Details
Loss Details
Survey Details

ADDITIONAL DETAILS IN CASE OF MARINE & MOTOR

Voyage / Transit Details (For Marine claims only)
Drivers Details ( For Motor claims only)

ADDITIONAL INFORMATION COMMON TO ALL LINES OF BUSINESS

FIR / Injury Details

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