0000016191 00000 n /ID [ <129EF8B0D4CF37D337794C3BBC403B1C> & Head Office : GE Plaza, Airport Road, Yerawada, Pune 411 006 Email id:-customercare@bajajallianz.co.in Toll free no:1800-209-5858 020 … /T 21466 /Outlines 5 0 R This form has 11 parts requiring various particulars about the insurance policy, event of break in, and the property. Car Insurance. Submit all original medical (pre-hositalisation and post-hospitalisation) documents.. You will receive an approval letter after thorough verification of the documents submitted. 0000040318 00000 n 0000027803 00000 n Bajaj Allianz’s move directly connects customers and service providers on the same level. FIDELITY GUARANTEE INSURANCE CLAIM FORM The issue of this form does not constitute admission of liability. << /Prev 66801 /Type /Page 0000001382 00000 n 0000045384 00000 n /FontDescriptor 15 0 R 0000009543 00000 n /AvgWidth 401 /Linearized 1 Fax no: 020-30512246. • Claims under multiple policies may be registered by filling a single form & providing all applicable policy numbers. 0000005636 00000 n << Download bajaj-allianz health claim-form Subject: Download bajaj-allianz health claim-form Keywords: Download bajaj-allianz health claim-form Download Proposal Forms, Claim Forms, Brochures and Policy Wordings of Insurance Products from www.insureatclick.com 0000020020 00000 n /ProcSet 13 0 R 3. /Type /Catalog Sample Claim form-Reimbursement . H�}�1�0EO�;���8�I��� |�J �*K�O�ڵ��޷�/F�pQ�3'�Q���:�"F�Y�.�]�&��"�d�G؋R}�}�XXaY說FP�����@zNQ�z���. Tollfree: 1800-209-0144 | 1800-209-5858 Email id: bagichelp@bajajallianz.co.in For senior citizens: seniorcitizen@bajajallianz.co.in Fax no: 020-30512246 All the grievances are closed within the stipulated time frame of 15 days. /ImageB Bajaj Allianz Burglary Claim Form You must prepare Bajaj Allianz Burglary Claim Form to report a break in and file a claim to the Bajaj Allianz Burglary authorities. 17 0 obj >> 444 1000 500 500 333 1000 556 333 889 778 0000013950 00000 n 0000026849 00000 n 0000036609 00000 n endobj 0000029855 00000 n >> 0000020168 00000 n /N 3 Self-attested documents submitted : TRC FORM 10 F Bajaj Allianz Life Insurance - Critical Illness Claim Form DD/MM/YYYY Name of the Life Assured: *To be ticked if you are a tax resident in India under the Income-tax Act, 1961. We understandthat thisis adifficult timefor you andit isour responsibility to offeryou the bestsupport inthis hour of need. 0000036775 00000 n 0000046156 00000 n 0000021611 00000 n Bajaj Allianz General Insurance Company Limited Ground Floor, 32/2 Ashoka Plaza, Next to Weikfield Company, Nagar Road, Pune - 411 014. PJDpVd#53X)J,`(m.BE-o\Sj&>*6N&qQJ#u /Root 36 0 R >> Bajaj Allianz General Insurance Company. 12 0 obj /L 21696 500 500 500 500 500 549 500 500 500 500 All the grievances are closed within the stipulated time frame of 15 days. xref 0000010229 00000 n << 0000037464 00000 n 0000003329 00000 n /Info 7 0 R /Length 103 xref Get the best medical care: The health insurance plans enable you to get treatment from the best hospitals and doctors. 0000046981 00000 n /Filter /FlateDecode Bajaj Allianz bike insurance has an impressive claim settlement ratio of 91.46% (in the financial year 2017-2018). /FirstChar 32 /ImageC /Pages 33 0 R Claim Form May2019. 0000002841 00000 n /FontName /TimesNewRoman 0.0 rating based on 12,345 ratings. 0000046804 00000 n /Length 772 11 0 obj 0000036977 00000 n 0000045744 00000 n ] << 0000021165 00000 n 0000009818 00000 n T"`n0jmZ'&\HPiu%UYo%LUi\\eer(e##pNba)VFip@@_O9AF;Q7R*Zg?.l4=.BCm /L 67637 0000037813 00000 n Please return the form duly completed within Fourteen days of the loss together with th. 36 0 obj 27 0 R ] endobj >> 0000023901 00000 n >> 0000040400 00000 n Sample Claim form-Reimbursement . Bajaj Allianz Life Insurance Death Claim Form Pleaseaccept ourcondolences onyour untimelyloss. endobj %PDF-1.2 >> /Encoding /WinAnsiEncoding /ABCpdf 7008 Overall, bajaj allianz is … 564 444 921 722 667 667 722 611 556 722 /Linearized 1 Title claim form-sample Author: Dhiraj Das Created Date: 0000004011 00000 n 35 73 0000009928 00000 n Bajaj Allianz has digitalized the claim procedure to facilitate its policyholders by simplifying the whole process. /Names << /Dests 29 0 R>> /ImageI ] /Filter /FlateDecode … 500 500 333 389 278 500 500 722 500 500 /im1 30 0 R 0000038449 00000 n /P 0 /S 384 Bajaj Allianz General Insurance Company Limited Corporate Identity Number: U66010PN2000PLC015329. The plan coverage offered is good, the premium is less and the claim process is easy. 15 0 obj 0000025432 00000 n 3. 0000020836 00000 n trailer 0000037546 00000 n /S 84 0000030204 00000 n Bajaj Allianz Car Insurance Claim The purpose of buying any kind of insurance is incomplete if you are not aware of the company’s claim process. Phone No. >> 0000001933 00000 n >> 35 0 obj Email id: bagichelp@bajajallianz.co.in. For senior citizens: seniorcitizen@bajajallianz.co.in. endstream /Type /Catalog 0000001869 00000 n << >> 0000027272 00000 n /Widths [ 250 333 408 500 500 833 778 180 333 333 %%EOF /ID [] But, ever since in have chosen bajaj allianz, i am happy and satisfied. The hospital will verify your details and send the duly filled pre-authorization form to Bajaj Allianz – Health Administration Team (HAT) 0000008152 00000 n /Prev 21456 0000016908 00000 n << 0000026138 00000 n 500 500 500 500 ] /H [ 1994 847 ] Bajaj allianz is a great insurer. /LastChar 255 0000010165 00000 n 0000027016 00000 n /O 12 Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc. 16 0 obj 444 480 200 480 541 778 500 778 333 500 13 0 obj 0000047176 00000 n The Claim is to be Registered by the Policy Holder by Calling the Bajaj Allianz Toll-Free Number 1800-209-5858. 107 0 obj /Length 123 9 23 RT5$GrcAJpM@@+gLg$!RQaE!omQaYC>MQdOrP 0000047016 00000 n /F1 18 0 R 0000027633 00000 n Download bajaj-allianz Health-Guard proposal-form Subject: Download bajaj-allianz Health-Guard proposal-form Keywords: Download bajaj-allianz Health-Guard proposal-form Download Proposal Forms, Claim Forms, Brochures an d Policy Wordings of Insurance Products from www.insureatclick.com 0000026033 00000 n 0000005344 00000 n 2. stream CLAIM FORM FOR HEALTH INSURANCE POLICIES OTHER THAN TRAVEL AND PERSONAL ACCIDENT – PART A TO BE FILLED IN BY THE INSURED The issue of this form is not to be taken as an admission of liability.