Get Group Claim Intimation Form

Filling out the Group Claim Intimation Form can seem daunting, but with clear guidance, you can complete it efficiently and accurately. This guide provides step-by-step instructions to help you navigate the online form submission process with confidence.

Follow the steps to successfully complete the Group Claim Intimation Form

1. Begin by pressing the ‘Get Form’ button to obtain the Group Claim Intimation Form and open it in your preferred editor.
2. Fill in the Group Policyholder's Details section. Ensure you provide the name of the group policyholder, group policy number, email ID, address, contact number, and the name of the contact person.
3. Proceed to the Information of the Member Insured section. Input the name of the deceased member, employee number, member ID, date of birth, date of joining service, last date of attending duties, date of joining the scheme, date of death, and cause of death.
4. Complete the particulars of leave availed during the last year prior to the date of death if required. Attach a separate sheet if necessary.
5. Enter the Beneficiary Information, including the name, relation with the deceased, address, bank name, account type, account number, IFSC code, Aadhar number, contact number, email ID, and PAN number.
6. In the Declaration & Authorization section, read the statement carefully and sign. This confirms that the information provided is true and grants consent to the insurer to obtain necessary records.
7. If needed, have a witness sign the vernacular declaration if the claimant signs in vernacular or affixes a thumb impression.
8. Once all sections are completed, review the entire form for accuracy. You can then save changes, download, print, or share the completed form as required.

Take the first step in filing your claim online by completing the Group Claim Intimation Form today.