• Nominee must complete the Claim form provided by the company.
• Original Policy Document.
• Original Death Certificate from a Hospital/an MBBS Doctor with Registration No. of BMDC.
• Original all Treatment Papers of Deceased.
• NID Card/Birth certificate of Nominee.
• Statement of Imam/ Purohit.
• Death certificate from Union Parishad.
• Cemetery certificate (if any).
• NID Card of legal Guardian (In case of Minority)

• FIR Report.
• Post-Mortem Report or Waiver Certificate.
(If death occurs Overseas)
• Death Certificate.
• Treatment Papers (if any)
• Procedure Paper of Bangladesh Hi-Commission of relevant country.
• Passport Photocopy.
• Airways Bill/Ticket.
• No Objection Certificate.

• FIR Report (from police station for cause of injury).
• Post-Mortem Report or Waiver Certificate.
• Doctor's Report (Medical Certificate) & Discharge Certificate from Hospital (If Confined).
• All diagnostics papers.
• Photograph of the concerned person with exposure of severed organ.

• FIR Report.
• State of Affair.
• Post-Mortem Report or Waiver Certificate.

• Doctor's Report (Medical Certificate) & Discharge Certificate from Hospital (If Confined).
• All diagnostics papers.
• F.I.R (from police station for cause of injury).
• Photograph of the concerned person with exposure of severed organ.

• Doctor's Report (Medical Certificate) & Discharge Certificate from Hospital (If Confined).
• F.I.R (From Police Station)
• Photograph of the concerned person with exposure of severed organ.

• Doctor's Report (Medical Certificate) & Discharge Certificate from Hospital (if confined).
• All diagnostics papers.
• F.I.R (from police station for cause of injury).
• Photograph of the concerned person with exposure of severed organ.

• Doctor's Report (Medical Certificate) & Discharge Certificate from Hospital (if confined).
• X-Ray Report.
• All diagnostics papers.
• Bill for hospital, diagnostics and medicine.

N.B. Certificate from a registered physician of specific discipline viz, Ophthalmology or Otolaryngology incase of irrecoverable loss of Sight or Hearing.

• Employment Certificate.
• Consultant’s recommendation for hospitalization/investigations (original copy).
• Discharge certificate (attested photocopy).
• An attested photocopy of the patient's file while hospitalized (if possible)
• Original Money Receipt or Bill of Consultants (Physician/Surgeon) fee.
• Bill relating to room charges, investigations and other services where applicable (original copy)
• Bill of medicine/drugs (original copy)
• Bill relating to Surgical Operation charges (Operation Theatre, surgical team, delivery charge, anaesthesia & other charges), where applicable (original copy)
• Original Bill relating to ancillary charges (e.g. ambulance service, oxygen therapy, blood transfusions etc.)

• Original Death Certificate from a Hospital/an MBBS Doctor with Registration No. of BMDC.
• Original all Treatment Papers of Deceased.
• NID Card/Birth certificate of Nominee.
• Statement of Imam./ Purohit
• Death certificate from Union Parishad.
• Cemetery certificate (if any)
• Employment Certificate.
• Salary Certificate.
• Attendance Sheet.
• NID Card of legal Guardian (In case of Minority)

NB: For supplementary claim please see the Supplementary claim requirements page.

• Application from Policyholder.
• Original Deed.
• Bank Cheque Leaf or Bank Statement of the Policyholder.
• Policyholders Photo.
• Signature of Claim Voucher.

• Original Deed for Endorsement.
• Signature of Claim Voucher.
• Bank Cheque Leaf or Bank Statement of Policyholder.
• Payment Instruction sign (If Needed).
• Policyholders Photo.
• Application for Bank Name mismatch with Policy Name (If Needed).
• Application for Signature mismatch (If Needed).

• Original Deed.
• Signature of Claim Voucher.
• Bank Cheque Leaf or Bank Statement of Policyholder.
• Policyholders Photo.