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Discharge VoucherACCIDENT DEPARTMENT Claim No. Issuing OfficeThe Oriental Insurance Company Limited Head Office, A25/27, Asaf Ali Road, New Delhi110 002Received Day of 200 From THE ORIENTAL INSURANCE.

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By signing a discharge and release form, the insured declares that it had received payment of insurance benefits from the insurer and waives any further or future claim against the insurer in respect of the insured event.

For medical claim reimbursement, you have to submit the required documents within 15 days after getting discharged from the hospital. Our claim management team will approve your claim within the stipulated period.

The purpose of discharge vouchers or settlement agreements is to ensure that employees relinquish any claims they may have against the employer.

Discharge Voucher signed signifies claimant's consent for discharge of Life Insurer of contractual obligations. It also serves as useful information to the policyholder/claimant about the amount payable under the policy as per policy terms and conditions.

Re: What is a satisfaction voucher? In case of cashless claim, wherein Insurer releases payment in favor of workshop, a written consent is taken from the Insured prior to the release of claim payment to confirm his satisfaction towards his / her vehicle repairs. This written consent is called a Satisfaction Voucher.

I will check the policy document thoroughly for exclusions. Also, I was going through past judgements and found a case (link provided at the end) where Punjab and Haryana high court gave verdict in favor of customer that even if patient was discharge based on LAMA, insurance companies cannnot deny the claim.

I/We hereby voluntarily give discharge receipt to the Company in full and finalsettlement of all my/our claims present or future arising directly/indirectly in respect of the said loss/accident. I/We hereby also subrogate all my/our rights and remedies to the Company in respect of the above loss/damages.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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:
1-877-389-0141
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