Accident Permanent Partial Disability Sample Clauses

Accident Permanent Partial Disability i. ▇▇▇▇ filled and signed claim form and Age / Identity proof documents GoActive; UIN: MAXHLIP18109V011718 rt ii. Hospital Discharge Summary (in original) / self attested copies if the originals are submitted with another insurer. iii. Final Hospital Bill (in original) / self attested copies if the originals are submitted with another insurer. iv. Medical consultations and investigations done from outside the hospital. v. Certificate of Disability issued by a Medical Board duly constituted by the Central and/or the State Government. vi. Copy of First Information Report (FIR) / Panchnama if applicable vii. Copy of Medico Legal Certificate duly attested by the concerned hospital, if applicable.