New India assurance company fire claim form

Hello sir, I am Sushil Kumar. I am form Jaipur. I want you to help me by providing me information about the New India assurance company fire claim form. Can you provide me the form?

[Shaleen]

As you have asked about the New India assurance company fire claim form, I am giving you information about it

Format of the fire claim Form:

1. Name and Address of Insured:

2. Please give following details pertaining to all the policies involved in fire accident:

Policy Risk Location Sum Insured Estimated
Number Covered amount of loss
(i)
(ii)
(iii)

3. Period of Insurance:

4. Date and Time of Loss:

5. Nature and Cause of Loss
(Please describe the circumstances
leading to the loss)

6. Give details of insurance with any
other insurance company on the risk involved in fire/accident

7. If insured is not sole owner, the nature of his/their interest in the property and details of other interests

8. Whether loss intimated to
(1) Police
(2) Fire Brigade

9. (i) Was any claim reported in the past on the
same property during current policy period.
(ii) If so, give details regarding:
(a) Cause
(b) Date of incident
(c) Claim
(d) Policy Issuing Office
(e) Amount of claim paid/Outstanding Rs.
New India assurance company fire claim form