Edit, Download, and Sign the Intimation Cum Preliminary Claim Form - Auto Policy
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How do I fill this out?
Filling out this form requires careful attention to detail. Begin by ensuring you have all necessary information and documents at hand. Complete all sections as specified, providing truthful and accurate information.
How to fill out the Intimation Cum Preliminary Claim Form - Auto Policy?
1
Read all instructions carefully before starting.
2
Fill in your personal and vehicle details accurately.
3
Document the details of the accident thoroughly.
4
Ensure all relevant documents are attached.
5
Submit the completed form to the insurance company.
Who needs the Intimation Cum Preliminary Claim Form - Auto Policy?
1
Vehicle owners needing to file a claim for damages.
2
Drivers involved in an accident who require insurance reimbursement.
3
Commercial vehicle operators facing third-party claims.
4
Insured parties looking for compensation after an accident.
5
Individuals supporting a claim with third-party injuries involved.
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Download or share the modified PDF.
What are the instructions for submitting this form?
To submit this form, complete it thoroughly and ensure all sections are answered. You can submit via email to claims@tataaig.com or fax at 1800-119966. Alternatively, deliver the completed form in person to the claims department at Tata AIG General Insurance Company, A-501, Infinity Park, Gen. A. K. Vaidya Marg, Dindoshi, Malad (East), Mumbai - 400 097. It is essential to keep a copy for your records.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure you are aware of your policy renewal dates and any deadlines for filing claims. Important dates will typically relate to your policy terms and the validity of your insurance coverage as specified in your policy documents.
What is the purpose of this form?
The purpose of this form is to provide a structured method for insured individuals to report accidents and initiate claims. It gathers vital information needed for the insurance company to assess liability and process claims effectively. Accurately completing this form is critical to ensure timely resolution and compensation.
Tell me about this form and its components and fields line-by-line.
- 1. Claim No.: Unique identifier for tracking your claim.
- 2. Vehicle No.: Registration number of the vehicle involved.
- 3. Eng No.: Engine number for identification.
- 4. Policy no.: Your insurance policy number.
- 5. Chassis No.: Chassis number for the vehicle.
- 6. INSURED/CLAIMANT NAME:: Legal name of the insured or claimant.
- 7. email:: Email address for communication.
- 8. Address:: Current residential address.
- 9. City: City of residence.
- 10. Pin: Postal code for the address.
- 11. Mob: Mobile number for contact.
- 12. Tel Res: Residential telephone number.
- 13. Tel off: Office telephone number.
- 14. Time & Date of Accident: Timestamp of the accident occurrence.
- 15. Place of Accident: Location where the accident took place.
- 16. Type of Loss: Indicates the type of loss, such as own damage or third party.
- 17. Damage Short Description of Accident/Incidence: Brief description of the incident.
- 18. Bodily Injury: Information regarding any bodily injuries sustained.
- 19. Property: Details related to property damage.
- 20. Permit valid upto: Expiry date of the vehicle's permit.
- 21. Load carried at the time of accident: State of the load at the time of the accident.
- 22. Fitness valid upto: Expiration of the vehicle's fitness certificate.
- 23. No. of passengers carried at the time of accident: Count of passengers in the vehicle.
- 24. Police FIR no.: Number of the police FIR if filed.
- 25. Police Station: Police station where the FIR is lodged.
- 26. Details of the driver: Information pertaining to the driver at the time.
- 27. Driving License No.: Driver's license number.
- 28. Effective for (type of vehicles): Specification of vehicle types allowed.
- 29. Relative/ Friend: Name of an accompanying relative or friend.
- 30. Age: Age of the driver.
- 31. Badge no: Badge number if applicable.
- 32. Occupation: Occupation of the driver.
What happens if I fail to submit this form?
Failure to submit this form may result in delays or denial of your insurance claim. It is crucial to ensure that all required information is provided to facilitate processing. Missing out on submitting the form can hinder your rights to recover losses.
- Delay in processing: Incomplete submissions may slow down the claim review process.
- Potential denial of claim: Not submitting or misrepresenting information can lead to claim denial.
- Legal consequences: Failure to provide accurate details could have legal implications.
How do I know when to use this form?
- 1. After a vehicular accident: This form initiates the claims process for damages or injuries.
- 2. For third-party claims: Essential for claims involving damages to other parties.
- 3. In case of theft: To report the theft of the vehicle and file a claim.
- 4. For property damages: To document loss or damages to your property due to an incident.
- 5. In case of injury to driver or passengers: To seek compensation for bodily injuries sustained.
Frequently Asked Questions
How do I fill out the claim form?
To fill out the claim form, gather all necessary information, complete each section carefully, and attach relevant documents.
What documents do I need to submit?
You should include the vehicle's registration, your driving license, and any police reports related to the accident.
Can I edit this form online?
Yes, PrintFriendly allows you to edit the PDF online before downloading.
How do I submit the completed form?
Submit the completed form via email, fax, or physical mail to the insurance company's claims department.
What happens if I make a mistake on the form?
If you realize there is a mistake after submission, contact the claims department immediately to rectify it.
Is there a time limit on claims submissions?
Yes, there are typically deadlines for submitting claims after an accident, so refer to your policy for specifics.
Where do I find my claim number?
Your claim number can be found on previous correspondence from your insurance provider or on the claim form itself.
Can I save my changes while editing?
While you can edit and download the form, ensure to save frequently to avoid losing changes.
How do I contact customer support?
Customer support can be contacted via the helpline provided by your insurance company regarding your claim.
What if I don't have all the requested documents?
It's crucial to provide all requested documents, but you can explain any missing items when submitting your claim.
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