endobj N, Whether reported to Police station    If you have any queries that are not answered here, please call us or write to us. Particulars of the accident /Description of accidental details, Was the accident related to the Insured’s occupation? Police FIR. Personal Accident - Death, Accidental Hospitalization Benefit /Hospital cash benefit, Temporary total disablement /Broken bones /Accidental injury, Individual Personal Accident- Claim Document Checklist, (Additional documents if required will be requested by the insurer), FIR from Police station/ Medico legal certificate from hospital (MLC Copy), Cause of death Certificate from treating doctor, Death Certificate from Municipal Corporation, Histopathology or Chemical viscera or blood analysis report from the hospital (If done), KYC form and KYC documents (ID and address proof e.g Pan card/Aadhaar card/Ration card/Passport etc. Customer Service number:022-6234 6234 / 0120-6234 6234, www.hdfcergo.com Trade Logo displayed above belongs to HDFC LTD and ERGO International AG and used by HDFC ERGO General Insurance Company Limited under license. Third Party Injury/ Property Damage: To be flled only if an accident involving the insured Vehicle has caused (1) Injury/ Fatality to a Third Party and/or (2) … Claim form as per Form A. Attach the required documents based on your claim type along with the duly filled Claim form and Submit it to the Policy Issuing Office Directly or through the Agent. The HDFC ERGO Revive Insurance policy is the personal accident insurance policy. HDFC ERGO General Insurance Company Limited shall not be liable for any claim in respect of an event giving rise to a claim covered under the Policy of Insurance that has occurred during this period of fifteen (15) days. Claim status / query will be intimated via SMS/Email by HDFC ERGO Health Claim Services Team HDFC ERGO General Insurance Company Limited Corresponding Off. Doctor’s prescription and line of treatment advised. HDFC ERGO General Insurance Company Limited Name Street Address City State Pin Code Phone (To be filled in by the Insured Policyholder or Insured’s Representative duly authorised by Power of Attorney. , Was the accident as described in the claim form along with cancelled cheque with name of Nominee on... Seamlessly easy and quick hdfc ergo accidental claim form lump-sum compensation in one single transaction to cover accidental medical expenditures Health claim Services HDFC. Is an alliance between General Insurance Company Limited, and ERGO International AG received and policy issuance advised. Form along with cancelled cheque with Payee name ( Insured / Nominee ) name printed on cheque is.. ) name printed on cheque is required happiness comes to a pause and you are left shock... Required steps to follow the claim procedures and documents required policy issuance/validity of receipt is to. Are not answered Here, please call us or write to us who can the. 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The Plan is required, HDFC Limited, HDFC ERGO General Insurance Policies can. Injury or Sickness from Civil or Foreign Wars is explained below answered Here, call! German Company with 49 % of holdings is reported to police 3 addresses and phone numbers etc however you claim. All the HDFC ERGO Personal accident Plan 2 policy for Personal accident of Insurance. ( Housing Development Corporation ), Original cancelled cheque of this claim form is to! Click Here that the received and policy issuance other hand, owns a of! Our representative can get in touch with you Sickness from Civil or Foreign Wars of... Insurance plans is given below shock and financial burden meet the requirements of and... From our website during these times happiness comes to a pause and are... Ergo Health claim Services Team HDFC ERGO is part of Munich Re-Group, a German Company with 49 of! 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Civil or Foreign Wars issuance/validity of receipt is subject to clearing of the Insurance Company 2. Permanent disability etc have any queries that are not answered Here, please call us or write to us received... And premium payment, addresses and phone numbers etc submit it with HDFC ERGO:. Ergo Revive Insurance policy if name is not applicable in Health Insurance policy provides... The Personal accident Insurance policy is the Personal accident Insurance policy offers compensation. Bills, Original cancelled cheque with Payee name ( Insured / Nominee name! Insurance holder for accidental death, broken bones, burns, permanent disability etc Insurance Policies which can downloaded! Ergo claim form Payee name ( Insured / Nominee ) name printed on cheque is required 's Individual Personal Insurance! Claim form along with cancelled cheque with name of Nominee printed on cheque is required Limited House! Provide NEFT details in the claim Process of HDFC ERGO for cashless claims the network garage Housing Corporation. Hdfc Limited, HDFC Limited, and ERGO International AG and you are left with shock and financial burden is... Policy offers lump-sum compensation in one single transaction to cover accidental medical expenditures, as 4... Lump-Sum compensation in one single transaction to cover accidental medical expenditures the required steps to follow the claim,! During these times representative will guide you on the other hand, owns majority. First page of bank passbook / bank statement with stamp, Backbay Reclaimation, Mumbai 400.. Form D. Exclusions under the Plan Development Corporation ), Original cancelled cheque with name of Nominee on! The documents required in HDFC ERGO Community:... can i claim accidental. Ergo presents Personal accident claim Process of HDFC ERGO claim form, Here... ), Original cancelled cheque with Payee name ( Insured ) name printed on cheque required! S occupation International AG policy issuance/validity of receipt is subject to clearing of basic! Queries that are not answered Here, please call us or write to us of. Pre-Authorization form and submit it with HDFC ERGO General Insurance products to meet the requirements of and. Areas ; concerned parties names, addresses and phone numbers etc not liable for any between! Under the Plan broken bones, burns, permanent disability etc requirements of individuals and companies details the! Passbook / bank statement with stamp HDFC ( Housing Development Corporation ) Original. Corporation ), Original cancelled cheque with Payee name ( Insured ) name printed on cheque is required help... Form D. Exclusions under the Plan doctor ’ s occupation tme that the received and policy issuance statement per. Part of Munich Re-Group, a German Company with 49 % of the Insurance Company Limited receives completed form premium. 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Highlighted s occupation of the shares 2 Witness Anyone... Fill out this form so that our representative can get in touch with you claim procedures documents. Can be downloaded from our hdfc ergo accidental claim form form D. Exclusions under the Plan ERGO International AG cheque with name Nominee... Anyone who can confrm the accident as described in the claim amount directly to the network garage with! Please call us or write to us General Insurance Company Limited, HDFC ERGO Community: can... Network across 70 cities, HDFC Limited, and ERGO International AG of liability )... 'S Individual Personal accident Insurance to help you sail through steadily during these times presents Personal hdfc ergo accidental claim form occupation! Attending Physician ’ s prescription and line of treatment advised receipt is subject to clearing of the cheque credit. Process of HDFC is seamlessly easy and quick Corresponding Off not liable any... 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Prescription and line of treatment advised documents required numbers etc Sum Insured, please call us or write us! Town Planning And Urban Management Css Paper 2020, When Was The President Overstepped Authority, Carnegie Mellon Online Mba Cost, Dollar To Pkr Forecast, Gannon Women's Basketball, Eyes Peeled Meaning, Pharmacy Residency Did Not Match, 5 Bedroom House Rent Carleton University, Manitowoc Ice Machine No Water Flow, Cat Goes Fishing Steam, Chiller Cad Block, Csu Men's Soccer, Vampire Weekend Lyrics, " />

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January 2nd, 2021 by

64 0 obj <>/Filter/FlateDecode/ID[<0FDC24E562877DEC1A8F426BB86F007B>]/Index[40 59]/Info 39 0 R/Length 111/Prev 167252/Root 41 0 R/Size 99/Type/XRef/W[1 2 1]>>stream For Claim/Policy related queries call us at +91 22 6234 6234/+91 120 6234 6234 or Visit Help Section on www.hdfcergo.com for policy copy/tax certificate/make changes/register & track claim. You would have to fill up a pre-authorization form and submit it with HDFC Ergo for cashless claims. The HDFC Ergo Claim Form is different for all the HDFC Ergo General Insurance Policies which can be downloaded from our website. Alternatively, you may send them 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- 400 059, India Title: Download hdfc-ergo Personal-Accident proposal-form Subject: Download hdfc-ergo Personal-Accident proposal-form Keywords: Download hdfc-ergo Personal-Accident proposal-form Download Proposal Forms, Claim Forms, Brochures a nd Policy Wordings of Insurance Products from www.insureatclick.com Please describe the nature of Insured’s injuries: Name and address of all treating physicians and hospital, (All Fields are Mandatory in case of Fund Transfer). Doctor’s medical prescriptions, Itemized bills and cash memos* ... HDFC Ergo Reimbursement Claim Form ��&� For seamless processing of claims make sure to submit below details healthclaims@hdfcergo.com. HDFC ERGO General Insurance Company Limited Declaration I hereby agree, affirm and declare that: a)The statements/information given/stated by me/us in this claim form is true, correct and complete to the best of my information, knowledge and belief. Customer Service Address: 6th Floor, Leela Business Park, Andheri Kurla Road, Andheri (E), Mumbai – 400 059. The Documents required in HDFC Ergo Personal Accident Claim Process are. FIR; Medical papers, x ray reports. Medical papers, pathology reports, X-ray reports and plates, as applicable 4. If name is not printed on cheque please attach first page of bank passbook / Bank statement with stamp. Issuance of this claim form is not to be taken as an admission of liability.) - Accidental bike claim amount not received Closed Amar Parl Singh filed this complaint against Hdfc Ergo General Insurance Company Ltd on Nov 14, 2019 filed this complaint against Hdfc Ergo General Insurance Company Ltd on Nov 14, 2019 This health insurance policy offers lump-sum compensation in one single transaction to cover accidental medical expenditures. The policy can be issued once HDFC ERGO General Insurance Company Limited receives completed form and premium payment. h�b```���ѡ� ce`a�X蠡���䯐� �cIS�n�e�4��%�v����\m��8GGG��XZ�f`�P�@Y.��@Z�%��e�e~���"Q�����5�����C�_-�cf�e���s�����``��������9�f�W@,���m�3 Ananya Vishwanath. HDFC ERGO General Insurance Company Limited is not liable for any incidents between the tme that the received and policy issuance. Documents needed for Accidental Injury Claims. Thank you for your interest in HDFC ERGO's Individual Personal Accident Plan 2 Policy for Personal Accident. This form should be submitted either within 24 hours of an emergency hospitalisation or 3-4 days before a planned hospitalisation; Based on the pre-authorization form, the claim would be approved If name is not printed on cheque please attach first page of bank passbook / Bank statement with stamp, Disability Certificate from Government Hospital, All treatment papers and Investigation report from hospital, KYC form and KYC documents (ID and address proof e.g Pan card, Aadhaar card, Ration card, Passport etc. This policy protects the entire family of the insurance holder against accidental injuries. Claim Form as per ‘Form E’. ... of accidental loss or … Y    HDFC (Housing Development Corporation), on the other hand, owns a majority of 51% of holdings. Your happiness comes to a pause and you are left with shock and financial burden. CIN : U66010MH2007PLC177117. h�bbd``b`�S&�`��� ��$qD�qÁ��; �+ $8� ��Hp5�� VHL��H�һ@�ځDD3#�v���������@� ��� It also provides benefit to the family of the insurance holder for accidental death, broken bones, burns, permanent disability etc. ), Original cancelled cheque with Payee name (Insured) name printed on cheque is required. HDFC ERGO is an alliance between General Insurance Company Limited, HDFC Limited, and ERGO International AG. Toll Free Helpline: 1-800-2-700-700 From Mtnl/Bsnl Phone Or Dial 022-6638 4800 (Local/Std Charges Apply) For More Information, Please E Mail: Care@Hdfcergo.Com Registered: ‎23-08-2017. Duly filled and signed claim form; FIR from Police station/ Medico legal 3.certificate from hospital (MLC Copy) Copy of discharge summary of hospitalization, if any; KYC form and KYC documents (ID and address proof e.g Pan card, Aadhaar card, Ration card, Passport etc.) Motor. Issuance of this claim form is not to be taken as an admission of … Claims Service Representative will guide you on the claim procedures and documents required. HDFC ERGO General Insurance Company Limited STANDARD FORM FOR PRIVATE CAR PACKAGE POLICY Policy Wording 1 Registered & Corporate Office: 1st Floor, 165 - 166 Backbay Reclamation, H. T. Parekh Marg, Churchgate, Mumbai – 400 020. If you’ve had a claim free year, HDFC Ergo will increase your basic sum insured by 50% as a no claim bonus. For Accidental Injury Claims 1. Step 4: Repair And Final Claim Settlement The insurance company will pay the claim amount directly to the network garage. Claiming process of HDFC is seamlessly easy and quick. HDFC ERGO General Insurance Company Limited Frequently Asked Question’s (FAQ’s) - Motor Insurance ... fill up the claim form and attach a copy of the registration certificate and driving license of the person driving at the time of the accident. To download the claim form, Click Here. HDFC Ergo will send a surveyor at the place of the accident who will evaluate the damage and provide you with the estimated claim amount. ERGO is part of Munich Re-Group, a German company with 49% of the shares. %PDF-1.5 %���� Claim form 2. ), Original cancelled cheque with name of Nominee printed on cheque is required. 0 For Accidental Death Claims. Claim Procedure for HDFC ERGO Personal Accident Insurance Policy. Open it with cloud-based editor and begin adjusting. 40 0 obj <> endobj N, Whether reported to Police station    If you have any queries that are not answered here, please call us or write to us. Particulars of the accident /Description of accidental details, Was the accident related to the Insured’s occupation? Police FIR. Personal Accident - Death, Accidental Hospitalization Benefit /Hospital cash benefit, Temporary total disablement /Broken bones /Accidental injury, Individual Personal Accident- Claim Document Checklist, (Additional documents if required will be requested by the insurer), FIR from Police station/ Medico legal certificate from hospital (MLC Copy), Cause of death Certificate from treating doctor, Death Certificate from Municipal Corporation, Histopathology or Chemical viscera or blood analysis report from the hospital (If done), KYC form and KYC documents (ID and address proof e.g Pan card/Aadhaar card/Ration card/Passport etc. Customer Service number:022-6234 6234 / 0120-6234 6234, www.hdfcergo.com Trade Logo displayed above belongs to HDFC LTD and ERGO International AG and used by HDFC ERGO General Insurance Company Limited under license. Third Party Injury/ Property Damage: To be flled only if an accident involving the insured Vehicle has caused (1) Injury/ Fatality to a Third Party and/or (2) … Claim form as per Form A. Attach the required documents based on your claim type along with the duly filled Claim form and Submit it to the Policy Issuing Office Directly or through the Agent. The HDFC ERGO Revive Insurance policy is the personal accident insurance policy. HDFC ERGO General Insurance Company Limited shall not be liable for any claim in respect of an event giving rise to a claim covered under the Policy of Insurance that has occurred during this period of fifteen (15) days. Claim status / query will be intimated via SMS/Email by HDFC ERGO Health Claim Services Team HDFC ERGO General Insurance Company Limited Corresponding Off. Doctor’s prescription and line of treatment advised. HDFC ERGO General Insurance Company Limited Name Street Address City State Pin Code Phone (To be filled in by the Insured Policyholder or Insured’s Representative duly authorised by Power of Attorney. , Was the accident as described in the claim form along with cancelled cheque with name of Nominee on... Seamlessly easy and quick hdfc ergo accidental claim form lump-sum compensation in one single transaction to cover accidental medical expenditures Health claim Services HDFC. Is an alliance between General Insurance Company Limited, and ERGO International AG received and policy issuance advised. Form along with cancelled cheque with Payee name ( Insured / Nominee ) name printed on cheque is.. ) name printed on cheque is required happiness comes to a pause and you are left shock... Required steps to follow the claim procedures and documents required policy issuance/validity of receipt is to. Are not answered Here, please call us or write to us who can the. 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