The Ayudhya Insurance

Claim Documents

Documents Required for Non-Motor Claims
Personal Accident Insurance
(Medical expenses / dismemberment / loss of sight or total permanent disability)

Claim Notification Letter or filled-in Personal Accident Claim Form

Medical Receipt (Original)

Medical Certificate (In case of prolonged treatment, a medical certificate is
needed for each claim)

Copy of Police Report for related case (If any)

Loss of Life

Claim Notification Letter or filled-in Personal Accident Claim Form

Copy of Death Certificate

Copy of Autopsy Certificate or Copy of Death Certificate issued by a hospital

Copy of I.D. Card of the Insured and Beneficiary

Copy of House Registration of the Insured and Beneficiary

Copy of Police Report for related case

Photo of Incident Location (If any)

Fire Insurance and Miscellaneous Insurance

Claim Notification Letter or filled-in Information Claim Form

Quotation or Receipt of Damaged Property

Copy of Police Report and police investigation report. (In case of fire which erupted at the insured property)

Copy of I.D. card of the Insured or authorized Director in case it is company’s insurance

Copy of House Registration of the Insured

Copy of Title Deed

Copy of Company Registration Certificate

Marine Insurance

Claim Bill or filed-in-information Claim Form

Original Insurance Policy

Invoice

Bill of Lading

Package List

Wharf Survey Note

Copy of claim letter to carriers

The Ayudhya Insurance Public Company Limited
898 Ploenchit Tower 7th Floor, Ploenchit Rd., Bangkok 10330
Tel. 02-263-0345

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