Affidavit For Claiming Car Insurance
Description
How to fill out Affidavit Verifying A Claim?
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FAQ
Met with accident on ____________ (dd/mm/yyyy) at ________________________(Address with pin code, Dist. and State). That there is no third Party damages against the accident. That I do hereby giving undertaking that I shall be liable in future if any third party claims arises in future.
INFORMATION ABOUT INSURED. INFORMATION ABOUT INSURED VEHICLE. DETAILS OF ACCIDENT / THEFT. DETAILS ABOUT THE DRIVER (At the material time of accident)
I am writing this letter in regards with the insurance claim for my car. My car insurance policy number is _______________. The details of the car accident are mentioned below: On (incidence date) ___________, I parked my car in front of my office, in the parking area.
I hereby declare that I had an accident while I was working/on my way to or back from work around : (hour: minute) on / / (day/month/year); 7 was/were injured due to 8. Regarding this work accident, I took day(s) of work accident leave.
Here's a list of standard documents that you may be asked to furnish: Your policy documents. Vehicle registration certificate. Your driving license. First Information Report filed by the police (in case of accident) Duly filled claim form. Medical bills in case you were injured in the incident.
