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HDFC ERGO General Insurance Company Limited ELECTRONIC EQUIPMENT CLAIM FORMClaim No.Policy No.1. Name and address of assured 2. Description of property damaged3. Identification of property damaged.

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How to fill out the EEI Claim Form online

Filing a claim can seem daunting, but completing the EEI Claim Form online can be a straightforward process. This guide offers clear, step-by-step instructions to help you fill out the form accurately, ensuring that you provide all necessary information for a smooth claims experience.

Follow the steps to successfully complete the EEI Claim Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter your claim number and policy number at the top of the form. These numbers are necessary for your claim to be processed correctly.
  3. Provide your name and address in the designated fields. Ensure that the information is accurate and up to date.
  4. Describe the property that has been damaged. Be specific about the type of electronic equipment involved in the claim.
  5. Identify the damaged property by entering details such as model number and serial number, if applicable.
  6. Indicate the location of the property where the damage occurred.
  7. Refer to your policy schedule to fill in the item number and the sum insured for the damaged property.
  8. State the date when the loss or damage occurred, ensuring all details are as precise as possible.
  9. Describe the circumstances surrounding the loss, including how and why the damage occurred.
  10. Specify if the equipment was in use at the time of damage, and by whom.
  11. Enter the date you informed your insurer about the damage.
  12. Indicate if the item was under any guarantee, providing details of the guarantee and its validity period if applicable.
  13. If the equipment has sustained damage from previous incidents, provide relevant details here.
  14. Note whether any repairs have commenced and include the name and address of the repair service, if applicable.
  15. Estimate the repair costs and the expected time to complete the repairs.
  16. State the salvage value of the damaged item, indicating what the item could be sold for after damage.
  17. Provide the address where the damaged item can be inspected.
  18. If the loss was due to burglary, theft, or fire, specify which police station has been notified.
  19. Include any other pertinent information that may aid in processing your claim.
  20. If applicable, list any additional equipment hired and include the amount claimed for increased costs of working, attaching necessary documentation.
  21. Review all entered information for accuracy and completeness. When finished, you can save changes, download, print, or share the completed form.

Complete your EEI Claim Form online today to ensure your claim is processed promptly.

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A claim form is the document that tells your insurance company more details about the accident or illness in question. This will help them determine if the expenses you are claiming for are covered under your insurance plan or not, so the more information on this form the better.

Claim forms are used to categorize claims within the application. Many configuration rules can differentiate on the claim form. The claim form also specifies which (and how many) procedure codes appear on claim lines of claims that belong to that form.

The two most common claim forms are the CMS-1500 and the UB-04.

noun. : a document with information about why a person should be given money. filled out an insurance claim form.

An insurance claim is a request to the insurance company for payment after a policyholder experiences a loss covered by their policy. For example, if a home is damaged by a fire and the homeowner has insurance, they will file a claim to begin the process of the insurance company paying for the repairs.

EEI Policy protects the Owner, Lessor or Hirer (where responsible either legally or through a leasing agreement) of electronic equipments. EEI Policy is Suitable for all electronic equipments (some examples): • Computer and allied peripherals. • Auxilliary equipments like UPS, Voltage Stabilizer etc.

-The CMS-1500 Health Insurance Claim Form is used by most health insurance payers for claims submitted by physicians and suppliers.

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