PERSONAL ACCIDENT (OTHER THAN AIR ACCIDENT) | AIR ACCIDENT (DEATH ONLY) |
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PA Claim form duly filled in and signed by the Nominee – Original | PA Claim form duly filled in and signed by the Nominee – Original |
30 days card statement prior to date of loss. | 30 days card statement prior to date of incident along with the transaction showing the purchase of ticket for the travel. |
Copy of Death certificate - Notarised/ Attested by Gazeted officer | Copy of Death certificate - Notarised/ Attested by Gazeted officer |
Copy of FIR - Notarised/ Attested by Gazeted officer | Copy of FIR - Notarised/ Attested by Gazeted officer |
Copy of Post mortem report - Notarised/ Attested by Gazeted officer | Copy of Post mortem report - Notarised/ Attested by Gazeted officer |
Copy of Panchnama (Spot and/ or Inquest) -Notarised/ Attested by Gazeted officer | Copy of Panchnama (Spot and/ or Inquest) -Notarised/ Attested by Gazeted officer |
Treatment papers, if hospitalised | Treatment papers, if hospitalised |
If claim amount> 1lakh, AML Documents - Notarised/ Attested by Gazetted Officer (Pan Card Copy, Address Proof, 2 Passport colour photos of claimant) | If claim amount> 1lakh, AML Documents - Notarised/ Attested by Gazetted Officer (Pan Card Copy, Address Proof, 2 Passport colour photos of claimant) |
Indemnity cum declaration bond on a Rs.50 / 100 /- stamp paper (Legal heir certificate)- Original | Indemnity cum declaration bond on a Rs.50 / 100 /- stamp paper (Legal heir certificate)- Original |
Consent letter from other legal heirs on a Rs.50 / 100 /- stamp paper (No objection certificate by other legal heirs) – Original | Consent letter from other legal heirs on a Rs.50 / 100 /- stamp paper (No objection certificate by other legal heirs) – Original |
NEFT mandate form duly filled in by the claimant and verified by bank with cancelled cheque of the nominee- Original (for direct fund transfer) | NEFT mandate form duly filled in by the claimant and verified by bank with cancelled cheque of the nominee- Original (for direct fund transfer) |
Purchase Protection |
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General (390 days - 2 yrs) |
7.00% | Apply Now |
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Senior Citizens (390 days - 2 yrs) |
7.50% | Apply Now |
How to claim the insurance cover?





On admissibility, ICICI LOMBARD will make the payment to the beneficiary. The payment shall be made within 15 working days of receipt of all complete documents, in case an investigation is not required.
List of documents required to claim insurance
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