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Personal Accident

In case of Injury

  1. Claim intimation (by letter or email)
  2. Claim Form duly completed by the claimant with stamp
  3. Medical Reports duly completed by the concerned doctor/hospital with stamp
  4. Attending doctors/hospital’s Prescriptions/reports and Discharge Summary if admitted in original or copy.
  5. Original Cash bills (Tax invoice) incurred for treatment expenses.
  6. Your Confirmation about date of joining office by the injured staff after leave.
  7. Certified copy of attendance register/Leave details
  8. Monthly salary of injured staff.

In case of Accidental Death

  1. Claim intimation (by letter or email)
  2. Claim Form to be filled in by concerned office with official stamp/seal
  3. Attending doctors/hospital’s prescriptions/reports in original or copy.
  4. FIR Lodged on the concerned Police Authority.
  5. Original Police Report.
  6. Spot investigation report (SarjaminMuchulka.)
  7. Post Mortem Report.
  8. Death Registration Certificate.
  9. Dead Body hand over certificate (Las SadagatPurji.)
  10. Certificate of relationship.
  11. Other relevant documents, if any.