Motor | Intimation for claim registration: Insurer:  | Customer name:  | Vehicle no:


Hi Team,


Greetings from Paytm Insurance Broking!


Please find the below details for the claim intimation request received for the subject policy number.


Details

Values

Claimant name


Claimant contact number


Insured name


Insured contact number


Insured email id


Policy number


Vehicle make & model


Date of loss


Time of loss


Cause of loss


Place of loss (address, city, state)


Current location of vehicle (address, city, state)


Name of panels damaged


Estimated loss amount


Vehicle parked/moving at the time of loss?


Name of driver (person driving the vehicle at the time of accident)


Garage opted name


Garage location (address, city, state)


Garage representative name


Garage representative contact number


Any injury to third party/occupants?


Other noteworthy details



Kindly share the claim registration number on this thread along with the surveyor details (as below) appointed for this case,


Surveyor DetailsValues
Surveyor name
Surveyor contact number
Surveyor email id


Best Regards,

Paytm Insurance Broking