Motor Claim Intimation

Policy Number*

Insured Name*

Mobile Number*

Insured Alternate Contact No.*

Email-ID*

Registration Number*

Engine Number*

Chassis Number*

Loss State*

Loss City*

Accident Date*

Accident Time*

Who was driving at the time of accident*

Location*

Nature of Loss*

Select Garage*

Intimator Name*

Intimator Contact Number*

Relationship with Insured*

How did the accident/theft happen*

Intimate Claim

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contactus@universalsompo.com contactclaims@universalsompo.com

Regd & Corp Office: Universal Sompo General Insurance Co Ltd. Office No 103, First Floor, Ackruti Star, MIDC Central Road, Andheri (East), Mumbai-400093, Maharashtra Tel :022–41659800, 022-41659900

Insurance is the subject matter of solicitation. IRDAI Registration Number - 134. CIN # U66010MH2007PLC166770. Control Number - ENG/WEBSITE/157/Feb2015.

Developed & Maintained by Universal Sompo General Insurance Co.Ltd

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Motor Claim Intimation

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Motor Claim Intimation

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Health Insurance:

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Travel Insurance:

Bancassurance:

Commercial Insurance:

Downloads:

PMFBY:

Government Solution: