Get Cic Personal Accident Cover

Filling out the Cic Personal Accident Cover proposal form is a straightforward process that ensures you receive the right benefits in the event of an accident. This guide provides clear instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Cic Personal Accident Cover proposal form online.

1. Press the ‘Get Form’ button to access the proposal form and view it for completion.
2. Begin by filling in the 'Name of the proposer' field with your full name.
3. Enter your 'Pin No.' in the designated blank.
4. Indicate your gender by checking the appropriate option (Male/Female).
5. Fill in your 'Date of Birth' accurately.
6. Provide your postal address by entering your 'P.O Box', 'CODE', and 'Town'.
7. Input your telephone number and mobile number in the respective fields.
8. Specify the coverage period by filling in the 'From' and 'To' dates.
9. Select the benefits you wish to include in your coverage by checking the relevant options listed (e.g., Death, Permanent Total Disability, etc.).
10. For each individual to be insured, fill in their 'Name', 'Date of Birth', and 'Plan'. Also, record the corresponding annual premium.
11. Answer the questions regarding previous accidents and any physical defects for each person to be insured, providing details as needed.
12. If desired, list the beneficiaries in the optional section, including their contact information.
13. Complete the declaration at the end of the form, ensuring all information is accurate, and sign and date it.
14. Once all fields are filled out, you can save changes, download the completed form, print it, or share it as needed.

Start the process to fill out your Cic Personal Accident Cover proposal form online today!