Pradhan Mantri Garib Kalyan Package Insurance Scheme for Health Workers Fighting COVID-19. Loss of life due to COVID19, and Accidental death on account of Coronavirus COVID-19 related duty.
Pradhan Mantri Garib Kalyan Package: Insurance Scheme for Health Workers Fighting COVID-19
FORM-I:
Personal Accident Insurance Claim Form for loss of life due to COVID19
The New India Assurance Company Limited
Personal Accident Insurance Claim Form (Particulars of Accident)
DOCUMENTS TO BE SUBMITTED ALONG WITH CLAIM FORM
I. Identity proof of Deceased (Certified copy)
II. Identity proof of the Claimant (Certified copy) (Must fulfil clause 3 of this Form)
III. Proof of relationship between the Deceased and the Claimant (Certified copy)
IV. Laboratory Report certifying having tested Positive for COVID-19 (in Original or Certified copy)
V. Death summary by the Hospital where death occurred (in case death occurred in hospital) (Certified copy).
VI. Death Certificate (in Original)
VII. Certificate by the Healthcare Institution/ organization/ office, as under
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