Policy Number
Death Critical Illness Disability Hospitalization / Surgery Death of payor
Name of the Deceased

Claim Details

Name of policy Holder   Date of Event
 
Cause of Events
Name of the person intimating the claim   Relationship with deceased
 
Email id of person intimating the claim   Mobile no of person intimating the claim
 
Address of person intimating the claim
State   Pincode
 
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Note
  • In addition to above documents requirements, Tata AIA Life reserves the right to ask for more documents/information, medical examination/tests and autopsy as may be required in consideration of the claim.
  • Notifications of claim, submission of claim forms and/or claim documents to the Company shall not be construed as an admission of liabilities of the Company.