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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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How to fill out the Discharge Voucher online

Filling out the Discharge Voucher is an essential step in processing your claim. This guide provides clear instructions to help you successfully complete the form online, ensuring that your information is entered correctly and efficiently.

Follow the steps to complete the Discharge Voucher online.

  1. Click ‘Get Form’ button to obtain the Discharge Voucher, and open it in your preferred editor.
  2. In the section labeled 'Claim No.', enter the claim number associated with your situation.
  3. Fill in the 'Received' line with the date you are filling out the form.
  4. In the 'Received From' section, write the name of the issuing company, which is The Oriental Insurance Company Limited.
  5. Indicate the amount received in the 'sum of Rs.' line, and write the same amount in words in the provided space.
  6. Specify the motor vehicle number in the 'Motor Car/Vehicle No.' section.
  7. Enter the insurance policy number in the 'Policy No.' field.
  8. Record the date of the accident as indicated in the designated section.
  9. Sign the form in the area indicated for signatures, and provide your current address.
  10. If the amount exceeds Rs. 5000, affix a one rupee revenue stamp; and if required, complete the witness information, including name, signature, and address.
  11. Lastly, enter your bank account number and the name of the bank for any necessary transaction after completing the form.
  12. Once you have filled out all required sections, review your entries for accuracy. Save changes, download, print, or share the completed Discharge Voucher as needed.

Get started by filling out your Discharge Voucher online today!

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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 1997-2026
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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
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
altaFlow
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 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232