Subject: Loan | Claim Intimation | Policy no - | Customer name -


Hi team,


Please find the claim intimation template for the subject policy number as below. Kindly process the request and share the claim intimation number with us within 1 working day.


Policy number 

 

Date of Loss 

 

Nature of loss 

 

Claimant/Nominee Name 

 

Relation with Insured 

 

Loss Description 

 

Estimated Loss / Claim Amount 

 

Address 1 / Flat, House no, Building, Company, Apartment 

 

Address 2 / Area, Colony, Street, Sector, village 

 

Address 3 / Landmark 

 

State 

 

City 

 

Pin code 

 

Mobile No 1 

 

Mobile No 2 

 

Email 1 

 


Thanks,