Get Personal Accident Proposal Form

Filling out the Personal Accident Proposal Form online is a crucial step in securing insurance coverage for unforeseen accidents. This guide provides clear and supportive instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out the Personal Accident Proposal Form.

1. Click the ‘Get Form’ button to obtain the Personal Accident Proposal Form and open it in your preferred online editor.
2. Begin by entering the name of the proposer in the designated field. Ensure that you provide the full legal name as it appears in official documents.
3. Next, enter the customer ID assigned to you. This helps in identifying your account within the insurance company.
4. Fill out the proposer’s address completely, including building name, plot or door number, road, area, city, state, and pincode for accurate correspondence.
5. Provide a valid phone number and email address to facilitate smooth communication regarding your proposal.
6. Describe the profession, trade, business, or occupation of the proposer in detail. This information is essential for assessing the risk associated with the proposal.
7. Attach a separate list of employees or members to be covered. Include their names, identification numbers, ages, nature of duties performed, annual income, and sum insured for each person.
8. Indicate whether the trade or business requires employees to engage in manual labor, and specify if applicable.
9. Answer questions regarding whether employees participate in high-risk activities such as racing, hunting, or sports, which may affect insurance terms.
10. If coverage for spouses and children of employees is required, attach another list detailing their names, ages, and relationships.
11. Complete the section for past accident or life insurance proposals for employees, providing details of the companies and amounts insured.
12. Disclose any past insurance denials or restrictions from companies on this form, detailing the company names and nature of the issues.
13. Confirm whether this policy is additional to any other accident policy, providing particulars of those policies if applicable.
14. Review all statements and declarations for accuracy. Sign and date the form, ensuring to clearly indicate your understanding of the proposal's terms.
15. Once completed, save your progress, and download, print, or share the form as necessary to complete your submission.

Start filling out your Personal Accident Proposal Form online today for quick and secure coverage.