Get Reliance Insurance Form

Filling out the Reliance Insurance Form online can be straightforward if you follow the right steps. This guide provides clear instructions on how to complete each section of the form to ensure your request for policy extension is accurately submitted.

Follow the steps to effectively complete the Reliance Insurance Form.

1. Click the ‘Get Form’ button to access the Reliance Insurance Form. This will allow you to obtain the document and prepare it for completion.
2. Begin by filling out the name of the insured or insured person in the designated field. This should reflect the person who is covered under the policy.
3. Enter the name of the insurance company, which is Reliance General Insurance Co. Ltd.
4. Indicate the type of policy or plan you are requesting an extension for, ensuring it matches your existing coverage.
5. Provide your policy number, as it is essential for identifying your coverage.
6. Specify the period of insurance by stating the dates of coverage, as well as the date of birth of the insured person.
7. Fill in the required extension period for your insurance coverage. Clarify how long you wish to extend the policy.
8. State the reason for your extension request, giving as much detail as needed to explain your situation.
9. Answer the question regarding any claims made during the current policy period by selecting 'Yes' or 'No.'
10. Confirm your health status by indicating whether you are in good health. Select 'Yes' or 'No' accordingly.
11. Provide details if you have undergone treatment, medication, or have been diagnosed with an illness during the policy period.
12. Indicate if any extensions were made to the policy before this request and provide relevant details if applicable.
13. If there was a break in insurance coverage, fill in the necessary information regarding the reason for this delay.
14. Complete the declaration section, affirming that the information provided is truthful to the best of your understanding, and sign the form.
15. Once you have completed all sections, save your changes, and then download or print the completed form for your records.

Complete your Reliance Insurance Form online today for a smooth extension process.