HDFC ERGO – Parivar Suraksha Bima

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Parivar Suraksha Bima

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Parivar Suraksha Bima

CLAIM FOR SECTION I

How to file a Claim

In case of any event leading to a claim under the policy, please call our Toll-free Number 1-600-226-226
Our Claims Service Representative will guide you on the claim procedures and documents required
Complete the claim form relevant to the nature of loss as indicated below.
Attach the documents mentioned against the claim type

Death Claims	Completed Claim Form; FIR; Post Mortem Report; Final Report from police; Copies of Inquest Report of criminal case filed by police (IF ANY); Statements of Gram Pradhan / Municipal Councilor/Post Master/School Teacher If Claimant is not the spouse, succession certificate from Collector’s Office.
Non Fatal Claims resulting in Permanent Total Disablement as covered in the policy	Completed Claim Form; FIR/Report to Police Station; Certificate regarding disability from a Government Hospital or a Doctor equivalent to CMO / Dy. CMO; Statement of witnesses; Original Admission / Discharge Card of hospital; Investigation / Lab reports (x-ray, etc.).
Death Claims Due to Snake Bite	Completed Claim Form; Post Mortem Report; Statements From Neighbours; Statement from Witness/Person who discovered the body; Investigation Report (MAY BE CALLED FOR DEPENDING ON THE CASE ); If Claimant is not the spouse, succession certificate from Collector’s Office

Documents, in addition to those mentioned above maybe called for, depending on the nature of accident and claim lodged.
You may also send the claim form with annexures to our Claims Processing Cell at the following address :
HDFC ERGO General Insurance Company Limited
6th Floor, Leela Business Park,
Andheri Kurla Road
Andheri (East)
Mumbai – 400 059
Please retain a copy of the documents sent for your records.

CLAIM FOR SECTION II

How to file a Claim

In case of any event leading to a claim under the policy, please call our Toll-free number 1600-226-226
Our Claims Service Representative will guide you on the claim procedures and documents required.
A claim form will be forwarded to you by mail, email or fax.
Complete the claim form relevant to the nature of loss as indicated below.
Attach the documents mentioned against the claim type.

For Accidental Injury Claims	Claim form Police Report, if accident is reported to Police Medical papers, pathology reports, X-ray reports, as applicable Doctor’s medical prescriptions, Itemized bills and cash memos * Hospital Discharge Card
For Hospitalisation due to Illness/Disease	Claim Form Medical papers, pathology reports, X-ray reports, as applicable Doctor’s prescription and line of treatment suggested Itemized bills and cash memos * Hospital Discharge Card

* Copies of fully itemized medical bills. Itemized bills must show the patient’s name, date of treatment, the type of treatment given, the diagnosis or nature of condition being treated and the Hospital/Nursing Home’s name and address.

Documents, in addition to those mentioned above maybe called for, depending on the nature of claim lodged.
You may also send the claim form with annexures to our Claims Processing Cell at the following address :
Claims Department
HDFC ERGO General Insurance Company Limited
6th Floor, Leela Business Park,
Andheri Kurla Road,
Andheri East,
Mumbai- 400 059
Please retain a copy of the documents sent for your records.

Insurance is the subject matter of the solicitation. Registration Number : 125