Grievance redressal portal

Before you submit your grievance to Insurance Ombudsman:

  • You should have made a complaint to Insurance Company/Insurance Broker
  • Insurance Company/Insurance Broker has failed to furnish reply to you within a period of one month of your complaint;
    OR
    You are not satisfied with the response given by Insurance Company/Insurance Broker
  • The complaint is being made to the Insurance Ombudsman within one year from
    (a) Date of rejection of the complaint by the Insurance Company/Insurance Broker
    OR
    (b) Expiry of one month of filing the complaint if the Insurer fails to reply
  • The amount of Compensation sought in Insurance Ombudsman should not exceed Rs. 50 Lakhs.

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Grievance To Be Lodged Against

Details of Complainant

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Communication Details

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Complaint Details

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Brief details of the Complaint


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Documents

You are requested to upload the following documents. Kindly note that each document size must not exceed 10 MB. Supported file types are *.pdf and *.jpg

(*) - Mandatory fields
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Please Review & Confirm the details filled by you

1 Complaint Details
Approached your Insurance Company?: Date of complaint lodged with the Insurance Company:
Insurance Broker:
Whether you have received the reply from Insurance Company:
Insurance type:
Insurance Company:
Policy No.:
Compensation Sought (Rs.):
Date of Occurrence:
2 Details of Complainant
Complainant name:
Relation with Insured:
Gender:
Email Id:
Mobile number:
Date of birth:
Address:
State:
City:
Pincode:
Insured name:
Ombudsman centre:
Brief details of the complaint:
3 Documents submitted
Copy of complaint submitted to Insurance Company:
Valid ID Proof and Address Proof:
Letter from Insurance Company rejecting the representation/repudiating the claim:
Photograph:
Copy of Insurance policy:
Other document(s):
I hereby declare that the information given by me is correct to the best of my knowledge.
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Complaint Submitted

Thank you for submitting your complaint. Complaint details would be verified by us and post successful verification, your complaint would be registered.

Kindly note that this complaint will not be registered if it is found to be incorrect/invalid.



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