Bajaj Allianz Motor Insurance Claim Form - Summary
Bajaj Allianz General Insurance now trades as Bajaj General Insurance Limited, and the motor claim form published on its official site is the Bajaj General Motor Claim Form. This is the document a policyholder files after an accident or a theft, and it carries the list of papers the insurer expects along with the form.
The form asks for the policy number, the name of the insured, a copy of the registration certificate and a copy of the driving licence of the person who was driving the vehicle at the material time of the incident. It also asks whether the salvage of the damaged vehicle is to be retained, and takes the bank NEFT details of the policy holder for the claim payment, with a note that an original cancelled cheque carrying the name must be submitted if the claim is admissible.
One line on the form says that submitting documents or bank details does not, in any way, imply admission of the claim or liability by the company. Another asks for consent to upload KYC records on the Central KYC Registry portal under the IRDAI circular dated 12 July 2016, and to verify identity and address through CKYCR, GST, MCA, NSDL or UIDAI portals.
Details asked in the claim form
- Policy number and name of the insured
- Copy of the registration certificate, which is mandatory
- Copy of the motor driving licence, which is also mandatory
- Whether the salvage of the damaged vehicle is to be retained
- Bank NEFT details of the policy holder or insured for claim payment
| Detail | Information |
|---|---|
| Document | Bajaj General Motor Claim Form |
| Issued by | Bajaj General Insurance Limited (formerly Bajaj Allianz General Insurance) |
| Claim types covered | Accident claim, theft claim and claim discharge cum satisfaction voucher |
| Where to submit | Nearest Bajaj General office |
| Toll-free number | 1800-209-5858 |
| 24×7 roadside assistance | 1800-103-5858 |
Documents for an accident claim
The form lists the papers to be submitted to the nearby Bajaj General office:
- Duly filled and signed claim form
- Proof of insurance, meaning the policy or cover note copy
- Copy of the registration book and tax receipt, with the original for verification
- Copy of the driving licence of the person driving the vehicle at the material time, with the original
- Estimate for repairs from the repairer where the vehicle is to be repaired
- Police panchanama or FIR in case of third party property damage, death or body injury
- Repair bills and payment receipts after the job is completed
- AML and KYC documents as per guidelines
- Claim discharge cum satisfaction voucher signed across a revenue stamp
Commercial vehicles need a few more papers: the permit, the fitness certificate and the load challan, with originals in the commercial vehicle case.
Documents for a theft claim
- Original policy document
- Original registration book or certificate, permit, fitness certificate, tax certificate and load challan
- Police panchanama or FIR
- Final investigation report from the magistrate’s court under section 173 CrPC, or a non traceable report
- All sets of keys, service booklet, warranty card and original purchase invoice
- Acknowledged copy of the letter to the RTO intimating the theft and informing “NON-USE” of the vehicle
- Forms 28, 29 and 30 signed by the insured and Form 35 signed by the financier, undated and blank
- Letter of undertaking, subrogation and discharge voucher
- Consent to the agreed claim settlement value from the insured and the financier
- NOC from the financier if the claim is to be settled in the insured’s favour
Claim discharge cum satisfaction voucher
The last part of the form carries the claim discharge cum satisfaction voucher. It records the claim number, the sum received towards full and final settlement under the policy number, the date of the loss and the signature of the insured across a revenue stamp, with the seal and phone number of the issuing office.
Claim timelines and repair invoices
Bajaj General assigns a surveyor within 30 minutes to 24 hours of the claim registration, the survey report is submitted within 0 to 15 days of the survey appointment, the claim decision is taken within 0 to 7 days of the survey report, and the settlement is done within 0 to 7 days of the final repair invoice. The repair invoice must be issued in the name of “Bajaj General Insurance Limited” and must carry the GSTN of the claim servicing office. An FIR is compulsory for third party property damage, bodily injury, theft or partial theft, malicious damage, key loss and major accidents.
How to download from the official website
STEP 1 – Open the motor insurance claim process page on bajajgeneralinsurance.com.
STEP 2 – In the tools section of that page, click the link for the Motor Claim Form.
STEP 3 – Save the file and fill in the policy number, insured details, RC and driving licence details, salvage choice and NEFT bank details.
STEP 4 – Sign the form and submit it with the listed documents to the nearest Bajaj General office.
For a related document, see the Bajaj Allianz Health Insurance Claim Form on InstaPDF.
