Overseas Travel Insurance Claim Form
Policy Details
Policy Number
Insured Name
Contact Number
Email
Travel Details
Travel Destination(s)
Date of Departure
Date of Return
Claim Details
Type of Claim
Medical
Baggage Loss/Delay
Travel Delay
Other
Date of Incident
Details of Incident
Amount Claimed
Bank Details for Claim Payment
Account Holder Name
Bank Name
Account Number
IFSC/SWIFT Code
Declaration
I declare that the information provided is true and complete to the best of my knowledge.