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  • Icici Lombard Claim Form

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Form is not to be taken as an Admission of Liability) PLEASE ANSWER ALL QUESTIONS FULLY 1. (I) DETAILS OF INSURED Name (ii) Address for Correspondence (iii) Contact No. 2. (i) DETAILS OF INJURED/ DECEASED PERSON Name (ii) Address (iii) Age (iv) Designation (v) Date & time of injury/death (vi) Place of injury/ death (vii) Details of the accident (viii) Whether reported to Police. (ix) If yes then name and address of Police Station. Yes/ No 3. Was the injured /deceas.

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Claims Process Call us at our toll free insurance helpline number at 1800 209 8888 to register your claim. Submit documents to ICICI Lombard. Admissible claims will be settled by ICICI Lombard within 21 days of receipt of all completed documents such as death certificate, doctor's certificate, FIR, police report, etc.

Use any of the below methods to intimate an own damage claim Lodge a claim here. Call 1800 2666 (toll-free) Download IL Take Care. app & click on "File a Claim" SMS "CLAIM" to 575758. Write to us at. customersupport@icicilombard.com.

You can call our 24x7 toll-free number 1800 2666 or SMS 'HEALTHCLAIM' to 575758 (charge – ₹3 per SMS) or email us at ihealthcare@icicilombard.com to inform us about your hospitalisation.

1800 2666(Available 24 x 7) Call Back. Got questions? Let's talk! Share your contact details and we'll give you a call. Full Name* Please enter the full name. Mobile no. * Please enter valid mobile number. Select products* Third Party Car Insurance. Third Party Two Wheeler Insurance Please select the product.

Documents Required* Duly filled Claim form (signed by the Insured and the Treating Doctor) Discharge summary (with details of complaints and the treatment availed) Final Hospital Bill (detailed break-up) along with interim bills. Payment Receipts. Doctor’s consultation papers.

You can report your claims online, at our branches or through an SMS as per your convenience. Submit Online. Submit your claim online. Call ClaimCare. Call our 24X7 ClaimCare team on 1-860-266-7766. Visit Branch. Visit your nearest ICICI Prudential Life Insurance branch. E-mail Claim or Send SMS. ... Direct Mail.

Submit these documents along with duly filled and signed Reimbursement claim form at the nearest ICICI Lombard Health Insurance branch. Within 15 days of receipt of all the documents, ICICI Lombard will settle the claim amount.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232