Asian Alliance Insurance PLC th 7 Floor Millennium House 46/58 Nawam Mawatha Colombo 02 Sri Lanka Reg. No. PQ31 Tel 94 11 2315555 Fax 94 11 2314400-1 E-mail info asianalliance. lk Website www. asianalliance. lk Motor Accident Report Form Vehicle No. Date and time of the Accident Policy No. Place of Accident Description of Name of Insured Telephone No. Name of Driver Driving License No. Date of Issue Authorized Classes Sketch of the accident Relationship to the Insured Use of vehicle at the time of accident Details of damages Details of third party Name of the police station accident reported Kindly note that as per section 161 of Motor Traffic Act you are required to report the accident forthwith to the nearest police station. I/ We hereby confirm and agree that a. All information and particulars given are true and complete and that no material has been withheld. b. All necessary assistance will be given to the Company in settlement of this claim. c. The only damage at present sustaine....
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How to fill out the Asian Alliance Claim Form online
Filling out the Asian Alliance Claim Form online is a straightforward process that allows users to submit their motor accident claims efficiently. This guide provides step-by-step instructions to ensure that you can complete the form accurately and confidently.
Follow the steps to complete your claim form online.
- Press the ‘Get Form’ button to access and open the claim form in your preferred online editor.
- Begin by entering the vehicle number in the specified field. This number is essential for identifying the vehicle involved in the accident.
- Fill in the date and time of the accident. Ensure this information is accurate, as it is crucial for the claim process.
- Enter your policy number. This should be found on your insurance documents.
- Specify the place where the accident occurred. Be as detailed as possible to aid in the assessment of your claim.
- Provide a brief description of the accident in the designated section. Include key facts that describe how the accident happened.
- Input the name of the insured, ensuring it matches the name on the insurance policy.
- Enter your telephone number. This will be used for any follow-ups regarding your claim.
- Fill in the name of the driver involved in the accident, following with their driving license number.
- Indicate the date of issue of the driving license and the authorized classes it covers.
- Include a sketch of the accident if possible. A visual representation can aid in clarifying the event.
- Specify your relationship to the insured in the corresponding field.
- Clarify the use of the vehicle at the time of the accident, providing necessary details.
- Detail any damages incurred by your vehicle during the accident and provide information about any involved third parties.
- Indicate the name of the police station where the accident was reported. Ensure this aligns with any reports filed.
- Review the confirmation statement regarding the accuracy of the information provided. Make sure you understand the implications of submitting true and complete information.
- Finally, sign and date the form, acknowledging your agreement to the terms outlined.
- Once completed, save your changes, and choose to download, print, or share the form as needed.
Start filling out your Asian Alliance Claim Form online today for a smoother claims process.
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What are the steps for reimbursement?
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When filling out a reimbursement claim form, ensure you have receipts and necessary documentation ready. The Asian Alliance Claim Form guides you through the required sections. Fill in your details clearly, attach all supporting documents, and submit it to ensure you receive your funds promptly.
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