ICICI Lombard Claim Form for Motor Vehicle PDF

ICICI Lombard Claim Form for Motor Vehicle - Summary

This is an ICICI Lombard Claim Form for Motor Vehicle that is essential for filing claims with ICICI Lombard General Insurance Co Ltd. You can easily download this form from their official website at https://www.icicilombard.com/, or directly from the link below.

Important Information for Filling the ICICI Lombard Claim Form

When filling out the ICICI Lombard Claim Form for Motor Vehicle, make sure to include the following details:

Details to be Mentioned in ICICI Lombard Claim Form

• Information about the Insured Policy
• Information about the Insured Vehicle
• Details about the Driver
• Details of the Accident
• Details of the Garage
• Third-Party Injury / Third-Party Vehicle Damage
• Witness Details
• Partial / Total Theft

Documents Required

1. For Accident Claims
   1. Claim Form Duly Signed*
   2. R. C. Copy of the Vehicle**
   3. Driving License Copy**
   4. Policy Copy – (First 2 Pages only)
   5. FIR Copy
   6. Original Estimate
   7. Original Repair Invoice, Payment Receipt
   8. Letter of Indemnity and Subrogation*
   9. Documents as required by AML guideline
2. For Theft Claims
   1. Claim Form Duly Signed*
   2. R. C. Copy** of the Vehicle with All Original Keys
   3. Driving License Copy**
   4. Original Policy Copy
   5. FIR Copy, Untrace Report, Dumping Yard Certificate
   6. RTO Transfer Papers Duly Signed*
   7. NOC from Finance Company (If Hyphenated)
   8. Documents as required by AML guideline
3. For Third-Party Claims
   1. Claim Form Duly Signed*
   2. Police FIR Copy
   3. Driving License Copy**
   4. Policy Copy
   5. MACT / Legal Notice
   6. R. C. Copy** of the Vehicle
   7. Documents as required by AML guideline

Download the ICICI Lombard Claim Form for Motor Vehicle in PDF format using the link given below.

Also, Check – ICICI Lombard Claim Form for Health Insurance

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ICICI Lombard Claim Form for Motor Vehicle PDF Download