Get Insurance Death Claim Form

Filling out the Insurance Death Claim Form online can seem overwhelming, especially during a difficult time. This guide offers a clear and structured approach to help you complete the form accurately and efficiently.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Begin by listing all policy numbers you hold with OIC in the designated section at the top of the form.
3. Provide answers to all questions asked in the form. Ensure that all information is accurate and complete, particularly the full name and maiden name of the deceased if applicable.
4. Fill in the address of the deceased, including street and city.
5. Enter the date of death and date of birth. Specify the source from which you obtained the date of birth, such as a passport or birth certificate.
6. Provide information about each beneficiary, including name, sex, date of birth, and address.
7. Indicate the date when the deceased first saw a doctor for the condition related to the death. Clarify whether the death was due to an illness or an accident.
8. Specify the relationship to the deceased and note whether the incident occurred during or outside work hours.
9. If the death was accidental, provide detailed information and attach any relevant newspaper clippings to support your claim.
10. List the name and address of the family doctor, along with the names and addresses of all doctors who attended to the deceased in the past five years.
11. Mention all hospitals where the deceased was treated or admitted, including specific dates of treatment.
12. List any other companies with which the deceased held life or medical insurance, including names, amounts, and policy numbers.
13. Sign the authorization section at the bottom of the form, including the policy number and your address.
14. After filling out the form completely, attach copies of all policies held with OIC and a certified copy of the death certificate.
15. Return the complete form and all necessary documents to the address indicated on the form.

Complete and submit your documents online for a seamless claims process.