Reliance Travel Insurance Claim Procedure Forms

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Reliance Travel insurance Claim procedure

Reliance Travel insurance Policy is a policy specially designed to give you comprehensive travel insurance that covers you against unanticipated medical and non medical expenses, so that you can relax and make the most of your trip.

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Reliance Travel insurance Claim form A:

for Claiming Medical expenses.

Download (PDF, 1.97MB)

Reliance Travel insurance Claim form B:

For claiming Personal Accident/Accidental Death & Dismemberment-Common Carrier.

Download (PDF, 1.86MB)

Reliance Travel insurance Claim form C:

For claiming Loss/Delay of Checked Baggage, Loss of Passport, Loss of International Driving License and Travel Documents,Trip Delay/Cancellation/Interruption/Missed Connection, Hijack Distress Allowance, Personal Liability etc.

Download (PDF, 1.89MB)

Reliance Travel insurance Claim form D:

for Home Burglary.

Download (PDF, 1.83MB)

Reliance Travel insurance proposal/Application Forms

Proposal form is nothing but an Application Form which is used for buying the insurance.

Download (PDF, 2.83MB)

How to submit your claim with Europ Assist for processing and reimbursement:

Step 1. Please collect all documents

Step 2. Please fill up the claim form provided to you fully.

Step 3. Lodge your claim with Europ Assist at the address mentioned below:

Europ Assistance India Pvt. Ltd.

C-301, Business Square,
Andheri – Kurla Road, Chakala,
Andheri (E), Mumbai – 400093, India.

Please note, when lodging your claim with Europ Assist, please make sure that the documents are sent as per the check list mentioned below:

Reliance Travel insurance Documents

Medical Accident & Sickness Expenses (Outside India)	Claim form Doctor’s report Original Admission/discharge card Original Bills/Receipts/Prescription Original X-ray reports/ Pathological/ Investigative reports Copy of passport/Visa with Entry & exit stamp
Loss of Baggage	Claim form Copies of Baggage Tags Copies of Correspondence with the Airline authorities/Others about loss of checked baggage Property Irregularity Report (obtained from Airline) Details of compensation received from Airlines/Other authorities, if any
Delay of Baggage	Claim form Copies of baggage tags Copies of Correspondence with the Airline authorities certifying about the delay Property Irregularity Report (obtained from Airline) Original bills/receipts/invoices pertaining to expenses incurred/purchases made during the delay period.
Trip Delay/ Cancellation/ interruption/ missed connection	Claim Form Please attach confirmation from the airlines, clearly mentioning the scheduled arrival time and the actual arrival time Copies of Correspondence with the Airline authorities certifying about the delay If trip is cancelled or interrupted due to medical reasons then provide medical reports and doctors statement If trip is cancelled or interrupted due to employment reason, then termination letter from the company shall be submitted If due to other insured events, police report confirming the incident shall be submitted In case the cancellation or interruption is owing to the sickness, injury or death of a traveling companion, the original tickets of the insured and the traveling companion indicating travel to the same destination for the same dates needs to be submitted All the bills / receipts of reasonable additional expenses incurred and / or proof of cancellation charges levied by the carriers shall be submitted.
Loss of Passport	Copy of new passport Copy of previous passport (if available) Original bills/invoices of expenses incurred for obtaining a new passport Copy of FIR/ Police Report
Personal Liability	Full statement of the facts in writing Witness statements Any other documents relevant to the incident, including Summons, Legal Notice etc. Any other information you would like to share with us.
Hijack	Full statement of the events in writing Claim Form Airline correspondence (copy of Passenger List etc.) Copy of ticket/ Boarding Pass
Accidental Death & Dismemberment	Claim form Original Death Certificate, Copy of FIR/Police inquest report/Coroners report Copy of Post Mortem report. Dismemberment Case: Copy of treatment papers along with No. 1 &3 above
Financial Emergency Assistance	Date of loss Copy of FIR/ Police Report
Bail Bond	Provide the court order stipulating the required amount as bail bond Police report
Sponsor Protection	Provide medical reports, doctor’s statement giving the details of the sponsor and cause of death certificate of the sponsor Medical statements from relations / spouse will not be accepted
Compassionate Visit	Provide Medical reports and certificate from the doctor confirming hospitalization of the insured, reason of hospitalization and duration of hospitalization Doctor’s statement specifically stating the need for an attendant
Study Interruption	Provide Medical reports, statement from the treating doctor and eath certificate as a proof of the reason of study interruption Medical statements from relations or spouse will not be accepted Provide receipts of the university fees paid

Please note above list is only indicative. We may call for additional documents/information or may arrange for our representative to verify the facts of the case if required

Medical Assistance and Emergency Services are implemented by our Service Providers:

Europ Assistance India Pvt. Ltd.

C-301, Business Square,
Andheri – Kurla Road, Chakala,
Andheri (E), Mumbai – 400093, India.

Our Service Providers are at your disposal for 24 hours during 365 days/year. In case of any requirement for emergency assistance whilst abroad, please contact the toll free helpline numbers given below:

Reliance Travel insurance International Toll Free Numbers

Netherlands	– 00+800-10101022	Thailand	– 001+800-10101022
Belgium	– 00+800-10101022	Sweden	– 00+800-10101022
Italy	– 00+800-10101022	Austria	– 00+800-10101022
Norway	– 00+800-10101022	Czech Republic	– 00+800-10101022
Poland	– 00+800-10101022	Denmark	– 00+800-10101022
New Zealand	– 00+800-10101022	France	– 00+800-10101022
Singapore	– 001+800-10101022	Greece	– 00+800-10101022
Portugal	– 00+800-10101022	Hungary	– 00+800-10101022
Australia	– 0011+800-10101022	Israel	– 014+800-10101022
United Kingdom	– 00+800-10101022	Germany	– 00+800-10101022
Malaysia	– 00+800-10101022	South Africa	– 09+800-10101022
Japan	– 0033-010, 001-010 +800-10101022	Spain	– 00+800-10101022
China	– 00+800-10101022	Swizterland	– 00+800-10101022
Hong Kong	– 001+800-10101022	USA	– 8774714686
Taiwan	– 001+800-10101022	Canada	– 8776266511

Reliance Travel insurance National Numbers

Toll Free	– 1800 209 5522
Claims Landline:	+91 22 6734 7843
Claims Landline:	+91 22 6734 7844
Fax:	+91 22 6734 7888

Email: reliance@europ-assistance.in

Website: www.europ-assistance.com

Following information needs to be furnished by you while intimating a claim:

Your contact numbers

Policy number

Name of Insured person who is injured

Date & time of accident

Location of loss

Brief description on how the accident took place

Extent of loss

Place & contact details of the Insured Person.