Get Bajaj Allianz Motor Insurance Claim Form

Filing a motor insurance claim can be a straightforward process when you understand how to complete the claim form accurately. This guide provides a step-by-step approach to filling out the Bajaj Allianz Motor Insurance Claim Form online, ensuring that you provide all necessary information for a smooth claims process.

Follow the steps to effectively complete the claim form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing your policy holder details. Input the policy number or cover note number, your name, mobile number, date of birth, gender, and address information including city, state, and pin code.
3. Next, fill out the vehicle loss details. Enter the vehicle registration number, chassis number, the number of occupants, accident date and time, and police report details including GD/FIR number and name of the police station.
4. Provide driver details for the individual driving the vehicle at the time of the accident. Include their name, issuing RTO, driving license number, relationship with the insured, and their mobile number.
5. In the statement section, describe the circumstances leading to the accident or theft, including the specific location and purpose of travel at the time.
6. Indicate whether the claim is under any add-on endorsement; if yes, provide the relevant details.
7. Fill in details regarding any third-party involvement, including descriptions of vehicles, passengers, injuries, and property damage. Provide contact details for third parties involved.
8. Enter your bank details for claims payment. Ensure to provide accurate information and agree to submit the original cancelled cheque with your name imprinted if the claim is admissible.
9. Complete the declaration section by agreeing that the statements made are true. Make sure to sign and date the form.
10. Lastly, review the form for accuracy. After confirming all details are correct, save changes, download, or print the form as needed.

Begin the process of your Bajaj Allianz motor insurance claim by filling out the form online.