Insurance Claim Notice

NOTICE OF INSURANCE CLAIM

To, insurance_company_name, company_address Date: notice_date

NOTICE OF CLAIM FOR SETTLEMENT OF INSURANCE

Dear Sir/Madam,

1. This is a formal notice demanding settlement of insurance claim by insurance_company_name (hereinafter referred to as 'the Insurer') within settlement_period days from the date of this notice.

2. The claim is made under the following insurance policy: Policy Number: policy_number Policy Type: policy_type Insured: insured_name Sum Insured: Rs. sum_insured Policy Period: policy_period Premium Status: Paid up to premium_paid_till

3. The claim arises from claim_event_description which occurred on claim_event_date.

4. The loss/damage sustained is valued at Rs. claim_amount (claim_amount_words).

5. The claimant's particulars are as follows: Name: claimant_name Father's Name: claimant_father CNIC: claimant_cnic Address: claimant_address Contact Number: contact_number Email: email_address

6. The following documents are enclosed with this notice and are tendered in support of the claim: supporting_documents

7. The claim is strictly within the scope of coverage under the policy terms and conditions, and there is no valid reason for the Insurer to reject or delay the claim.

8. All policy conditions have been complied with, and the claim is free from any misrepresentation or material non-disclosure.

9. In accordance with the Insurance Ordinance 2000, the Insurer is bound to settle valid claims promptly and without unreasonable delay.

10. The claimant hereby demands full and final settlement of this claim within settlement_period days of receipt of this notice.

11. In the event of non-compliance with this demand, the claimant reserves the right to institute legal proceedings before the appropriate court for recovery of the claim amount along with interest and costs, as permitted under law.

12. Please acknowledge receipt of this notice and confirm the date of settlement.

RELIEF SOUGHT

1. Payment of claim amount: Rs. claim_amount 2. Interest at interest_rate% per annum from interest_from_date till date of payment 3. Costs and expenses incurred in connection with the claim 4. Such other relief as may be deemed proper

VERIFICATION

I, claimant_name, son/daughter of claimant_father, do hereby verify on oath that the contents of this notice are true and correct to the best of my knowledge and belief. I am aware that any false statement would be punishable as per law.

_____________________________ claimant_name Claimant CNIC No. claimant_cnic Through: _____________________________ counsel_name Advocate for the Claimant Date: ______________ Address: counsel_address Contact: counsel_contact