Claims Process | Canara HSBC Oriental Bank of Commerce Life Insurance
Online Claim Intimation
All fields marked with * are mandatory.
 
Details of the claimant
First Name: *
Middle Name:
Last Name: *
Contact Number: *
Relationship with Life Assured:*
 
Policy Details
Policy Number: *
Life Assured First Name: *
Life Assured Middle Name:
Life Assured Last Name: *
 
Claim Details
Date of death: *
Place of death: *
Cause of death: *
Additional info:
Note :
  • The above information would not be construed as registration, Intimation or Acceptance of claim.
  • For claim registration, please complete and submit a duly signed hard copy of the Claim Form along with a
    copy of the Photo Id and address proof at the nearest Bank Branch/ Hub.
 

Life Insurance Claims

We are the first Life
Insurance Company to
launch "Immediate Payout
on Death Claim Registration".



For any assistance or query relating to claims, please get in touch with us at:

Canara HSBC Oriental Bank of Commerce Life Insurance
Company Limited

Unitech Trade Centre, 2nd Floor,
Sushant Lok, Phase-1, Sector-43, Gurgaon -122009
Haryana, India

How we process our claims
Our claims process has been developed recognizing your needs of the hour. We are the first Life Insurance Company to launch "Immediate Payout on Death Claim Registration"* wherein we pay the Fund Value to the Claimant on registration of the claim, before the other formalities are completed.
Online Claim Intimation Form
*conditions apply

Step 1 Claim Intimation & Registration
 

The nominee/ claimant can intimate about the claim by filling the Death Claim Form and sending it to us at our head office /nearest bank branch/our offices along with a duly attested photo ID and address proof of the claimant.

  DEATH CLAIM FORM

These forms can also be collected from any of our offices or the respective bank branches.

  LOCATE OUR BRANCH/OFFICE NEAREST TO YOU

Once we receive the duly filled Death Claim Form, we register your claim. And we will make payment for an amount equal to the Fund Value(subject to the terms and conditions).

Step 2 Fund Value Disbursement & Documentations
 

Fund Value Disbursement

Once your claim is registered, we will transfer the Fund Value amount and will send you the claims pack along with the related forms that needs to be filled.

These forms can also be collected from any of our offices or the respective bank branches.

However, in order to expedite the process, we request you to download these forms and submit them along with the relevant documents.

Please find below the list of forms that needs to be filled and submitted to us for evaluation of the claim :

  Death Claim Form (Form C): This form has to be completed by a valid claimant.
  Physician's Statement (Form P): This form is to be filled up by the medical practitioners who have attended the deceased and the deceased's usual doctor / family doctor.
  Treating Hospital Certificate (Form H): This form is to be completed by the authorities of all the hospitals where the deceased was ever hospitalized.
  Employer Certificate (Form E) / School/ College Certificate (Form S): This form should be completed by the deceased's employer. In case of a minor, this has to be completed by the school / college authorities

You can submit or courier these documents to us at our head office or send it to any of our offices or the respective bank branch.

Locate our branch/office nearest to you

Documentation

The following documents needs to be submitted along with the duly filled forms:

  Original policy document
  Death Certificate issued by Municipal authorities.
  Copy of Bank Pass Book/ Cancel Cheque.
  Hospital / Other treatment records
  Photo Identification & address proof of the claimant
  Post-mortem & chemical viscera report (if performed)
  Physician's Statement.

For unnatural / accidental deaths, the following additional documents are required to be submitted:

  Police reports (FIR, Panchnama, Police investigation report)
  Newspaper cutting (if any)(Detailing the incident)

Important Information
Certification / attestation of photocopy of documents and witnessing of the claim forms to be done by any one of the following:

(1) An agent of the Company, (2) A Relationship Manager of the Company, (3) A Branch Manager of a distributing bank, (4) A Bank Manager of a Nationalized bank with Rubber Stamp, (5) A Gazetted Officer, (6) A Head Master / Principal of a Govt. School, (7) A Magistrate, (8) Any employee of the company.

In addition to the above listed documents, Canara HSBC Oriental Bank of Commerce Life Insurance Co. Ltd. reserves the right to call for any additional documents/ information.

Submission of claim form/ any other documents should not be construed as acceptance of the claim.

Step 3 Processing & Settlement
 

We start the processing of claim once we receive the forms along with the relevant documents. In case of any clarifications / further requirements, we will get in touch with you.

Upon verification of the documents, if all the documents are as per the requirements, we will release the balance amount to you. (Subject to terms and conditions).