(Hospi Cash, IA Health and Health First Policies only)
- Hospital List
- Pre Authorisation Form
(Download this form in other Language)
- Photo Identity of Life Assured with age and address proof
- Health Card
- Discharge summary of present and past hospitalizations
- Hospital Bills for the confinement
- All related clinical Reports pertaining to the claim event:
- Laboratory test reports
- X-Ray / CT Scan / MRI Reports & Plates
- Ultrasonography Report
- Histopathology Report
- Clinical / Hospital Reports
- Angiography Reports & Plates
- Others (please specify)
- Certificate of Diagnosis
- Please submit copies of the following documents certified / attested by the issuing authority.
( Original Seen Verified (OSV) by Branch Personnel will also be accepted) -
- All Police papers – Panchnama, Inquest, First Information Report and Final Investigation Report
- Medical Records (Admission Notes, Discharge/Death Summary, Indoor Case Papers, Test Reports etc)
- 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.