General Insurance Claim Forms

		Death Claim Forms
		Claim Forms shall be available on request For claim forms please visit any nearest Bajaj Allianz Life Insurance Branch.

		Policy Servicing
		Application Form for Loan
		Assignment Form
		Mandate form for ECS(Debit Clearing) / Auto Debit Instruction (ADI)
		Electronic Payment Mandate Form
		Appointment of Appointee Form
		Reassignment of Policy Form
		Loan Receipt Form
		Good Health Declaration Form
		Maturity Discharge Form
		Nomination Form
		Policy Servicing Request Form
		Correction Request Form
		Specimen Signature Form
		Surrender Request Form
		UL Policy Servicing Form
		UL Surrender/Withdrawal Form

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