Request for Claim | Max Life Insurance
Header

Documents Required

Know about the different types of documents that are required to file a claim

Life Claims

We request you to submit the following documents to register a death claim:

Documents required

  • Original policy documents
  • Original/attested copy of death certificate issued by local municipal authority
  • Death claim application form (Form A)
  • NEFT mandate form attested by bank authorities along with a cancelled cheque or bank account passbook
  • Nominee's photo identity proof such as copy of Passport, PAN card, Voter identity card, Aadhar (UID) card, etc.

 

Additional documents required on basis of cause of death

  • Medical/Natural death:
    • Attending physician's statement (Form 'C')
    • Medical records (admission notes, discharge/death summary, test reports, etc.)
  • Accidental/Unnatural death:
    • Copy of the First Information Report (FIR) or Panchanama/Police complaint
    • Copy of Post Mortem report (PMR)/Autopsy and Viscera report
    • Copy of the Final Police Investigation report (FPIR)/Charge sheet

 

Click here to download the life claim forms

Health Claims

We request you to submit the following documents to register a health claim.

  • Health claim application form (Details of forms available under claim forms section)
  • Attending physician's statement
  • Attested copies of all medical records
  • NEFT mandate form

 

Click here to download the health claim forms

Group Claims

We request you to submit the following documents to register a group claim under the following categories.

Employer Employee Policies

  • Claim form (GTL Employer Employee, EDLI, and Gratuity) as applicable
  • Original/attested copy of death certificate issued by municipal authorities
  • EFT mandate form to be completed by nominee/policyholder along with copy of a cancelled cheque wherein name of the account holder is printed or copy of bank pass book

 

Non Employer Employee Policies: Lender Borrower & Non Lender Borrower Relationships:

  • Insurance certificate
  • Original/attested copy of death certificate issued by local municipal authority
  • Claim form (Lender Borrower/Non Lender Borrower) as applicable
  • NEFT mandate form attested by bank authorities along with a cancelled cheque or bank account passbook

 

Additional documents required on basis of cause of death

  • Medical/Natural death:
    • Attending physician's statement (Form 'C')
    • Medical records (admission notes, discharge/death summary, test reports etc.)
  • Accidental/ Unnatural death:
    • Copy of First Information Report (FIR) or Panchanama/Police complaint
    • Copy of Post Mortem Report (PMR)/Autopsy and Viscera report
    • Copy of Final Police Investigation report (FPIR)/Charge sheet

 

Pradhan Mantri Jeevan Jyoti Bima Yojana

Click here to download the Group claim forms

Cancer Claims

  • Cancer Insurance Claim Form - Form CA
  • NEFT Form

 

Click here to download the cancer claim forms