ENG
NEP
Online Claim Portal
Individual Death Claim
Digital Claim Submission
Complete the claim details and upload the documents required for processing.
Claim details
Policy number
*
Deceased full name
*
Death claim type
*
Select
Natural death
Accidental death
Treatment-related death
Deceased date of birth
*
AD (English)
BS (Nepali)
Profession / position
Deceased address
*
Date of death
*
AD (English)
BS (Nepali)
Place of death
*
Cause of death
*
Person who informed the death
*
Approximate age at death
Claimant full name
*
Claimant date of birth
AD (English)
BS (Nepali)
Claimant mobile number
*
Claimant address
*
Basis of claim / legal right
*
Relationship to insured
*
Bank account name
*
Bank account number
*
Bank name and branch
*
Declaration / additional information
*
Required documents
Claimant's claim details / description
*
Print Claimant Form
Print, fill in, sign, and upload the completed document above.
PDF, JPG, JPEG, or PNG. Maximum 5 MB.
Claim settlement / discharge voucher
*
Print Discharge Form
Print, fill in, sign, and upload the completed document above.
PDF, JPG, JPEG, or PNG. Maximum 5 MB.
Identity proof document
*
PDF, JPG, JPEG, or PNG. Maximum 5 MB.
Original insurance policy document
*
PDF, JPG, JPEG, or PNG. Maximum 5 MB.
Death registration certificate issued by the local authority
*
PDF, JPG, JPEG, or PNG. Maximum 5 MB.
Certificate proving relationship between insured and claimant
*
PDF, JPG, JPEG, or PNG. Maximum 5 MB.
Claimant/heir citizenship certificate or national identity card
*
PDF, JPG, JPEG, or PNG. Maximum 5 MB.
Medical Attendant's Certificate and hospital death certificate, where applicable
PDF, JPG, JPEG, or PNG. Maximum 5 MB.
Recommendation from the local authority
PDF, JPG, JPEG, or PNG. Maximum 5 MB.
Incident scene report / postmortem report, for suicide or accident cases
PDF, JPG, JPEG, or PNG. Maximum 5 MB.
Claimant's bank account details and cheque scan copy, where available
*
PDF, JPG, JPEG, or PNG. Maximum 5 MB.
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Submit Death Claim