Death (all causes of death)

• Claim Forms (Download this form in other Language)
  1. Part I: Application Form for Death Claim (Claimant's Statement) along with NEFT form
  2. Part II: Physician's Statement - to be filled by last attending physician
• Death Certificate issued by a local government body like Municipal Corporation / Appropriate Authority
• Medical Records (Admission Notes, Discharge/Death Summary, Indoor Case Papers, Test Reports etc)^*
• Original Policy document
• Claimant's Photo ID with age proof & relationship with the Life Assured along with Address proof of the claimant and Cancelled cheque with name and account number printed or cancelled cheque with copy of Bank Passbook / Bank Statement  (List of acceptable ID and Address proofs of claimant)

If no nomination - Proof of legal title to the claim proceeds (e.g. legal succession paper).

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If Death due to Accident (to be submitted in addition to the above)

• Postmortem report (Autopsy report) & Chemical Viscera report - if performed
• All Police Papers – Panchnama, Inquest, First Information Report (FIR) and Final Investigation Report
• Newspaper cutting / Photographs of the accident - if available

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Please Note:

• Please submit copies of the following documents certified / attested by the issuing authority. ( Original Seen Verified (OSV) by Branch Personnel will also be accepted) -
  1. All Police papers – Panchnama, Inquest, First Information Report and Final Investigation Report
  2. Medical Records (Admission Notes, Discharge/Death Summary, Indoor Case Papers, Test Reports etc)^*
  3. Postmortem report (Autopsy report) & Chemical Viscera report (certified by Police / Magistrate / Court will also be accepted)
• Copies of the other documents to be submitted by self attestation of the claimant
• In case the claim warrants any additional requirement, TALIC reserves the right to call for the same.
• Notification of claim & submission of the claim requirements does not mean admission of the claim liability by the Company.
• No agent is authorized to admit any liabilities on behalf of the Company, nor to alter this list of documents or any claims requirements called for by the Company.

^*This is applicable if Life Assured was in hospital at the time of death or any time prior to the date of death.