Get New Form Klaim - Asuransi Bintang

This guide provides a step-by-step approach to completing the New Form Klaim - Asuransi Bintang online. By following these clear and supportive instructions, users can ensure that they accurately fill out the necessary fields for their insurance claim.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to obtain the form and access it in the editor.
2. Begin by filling out the general information section. Provide your insurance policy number, the insurance policy period, your name as the insured, your phone number, and your address.
3. Next, move to the driver's information section. Enter the name of the driver, their relationship to the insured, phone number, driving license number, and the expiration date of the license.
4. In the insured vehicles section, include the type and make of the motor vehicle, registration number, machine number, chassis number, and manufacturing year.
5. Proceed to the accident information section. Record the place of the accident, date, time, speed of the vehicle at the time, and the intended use of the vehicle during the incident. Additionally, provide the driver's address.
6. Then, address the third-party accident section. Indicate whether a third party was involved and provide their name, address, phone number, type and make of their vehicle, registration number, and confirm if their vehicle is insured by another company. Describe any damage that occurred to the third party's vehicle.
7. Next, provide a detailed description of the accident in the section labeled 'Keterangan Kejadian.'
8. Mark the sections of the vehicles that sustained damage, indicating rear, front, right, or left.
9. Complete the declaration section. Affirm that the information provided is true and confirm that there are no other related insurance policies. Finally, date the form and provide your signature.
10. Once all fields are accurately filled, save any changes, and choose to download, print, or share the completed form as needed.

Take action now and complete your documents online with confidence.