ICICI Lombard Claim Form for Motor Vehicle PDF

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ICICI Lombard Claim Form for Motor Vehicle

This is an ICICI Lombard Claim form for Motor Vehicle issued by the ICICI Lombard General Insurance Co Ltd and this form can be downloaded from the company’s official website i.e. https://www.icicilombard.com/, or it can be directly downloaded from the link given below.

Details to be Mentioned in ICICI Lombard Claim Form

  • Information about Insured Policy
  • Information about 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.

ICICI Lombard Claim Form for Motor Vehicle PDF - 2nd Page
Page No. 2 of ICICI Lombard Claim Form for Motor Vehicle PDF

Also, Check – ICICI Lombard Claim Form for Health Insurance

ICICI Lombard Claim Form for Motor Vehicle PDF Download Link

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