Get Rasta Apatti Kavach Proposal Form

Filing a claim through the Rasta Apatti Kavach Proposal Form is an important step for individuals seeking coverage for personal accidents. This guide provides clear instructions on how to navigate the online form to ensure all necessary information is accurately submitted.

Follow the steps to complete the Rasta Apatti Kavach Proposal Form online

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by entering the policy number and claim number at the top of the form.
3. In section 1, provide the name of the insured person.
4. In section 2, fill in the name of the injured or deceased person. Indicate whether they were an occupant, third party, or driver by selecting ‘Yes’ or ‘No’ in the appropriate boxes and providing further details as required.
5. Proceed to section 3 and enter the date and time of the accident, the location of the accident, and details regarding the incident. Indicate if the accident was reported to the police and provide details of the FIR/SDE number.
6. In section 4, if there was an injury, specify the nature and extent of the injury. Enter details of the medical practitioner who treated the individual, including their name and address.
7. Include information about the hospital or nursing home where treatment was received, along with contact information, if applicable.
8. Document the treatment details, including the period of treatment, date of admission, and date of discharge. Fill in the schedule of expenses incurred under section 4, providing details and amounts related to hospitalization and medical treatments.
9. If there is a disablement claim, include the disability factor and attach the original disability certificate as required.
10. In case of death, provide details of the post mortem report and death certificate, and include the nominee's information and claimed amount.
11. Indicate if there are any other JPA insurance policies and provide the sum insured and the name of the insurance company if applicable.
12. Lastly, tick off the documents you are enclosing as supporting evidence for the claim.
13. Review all the information filled out carefully, ensuring accuracy for your claim. Once everything is confirmed, you can save changes, download, print, or share the completed form.

Start your online submission process for the Rasta Apatti Kavach Proposal Form today.