Maharashtra Health Department issues Form I regarding personal accident insurance claim for loss of life due to COVID-19

Apr 29, 2020 | by Avantis RegTech Legal Research Team

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EHS Compliance

The Maharashtra Health Department on April 04, 2020, issues Form I regarding personal accident insurance claim for loss of life due to COVID-19.

Documents to be submitted along with the claim form:

Identity proof of Deceased (Certified copy) 

Identity proof of the Claimant (Certified copy) (Must fulfil clause 3 of this Form which talks about claim certifying authority)

Proof of relationship between the Deceased and the Claimant (Certified copy) 

Laboratory Report certifying having tested Positive for COVID-19 (in Original or Certified copy)

Death summary by the Hospital where death occurred (in case death occurred in hospital) (Certified copy). 

Death Certificate (in Original) 

Certificate by the Healthcare Institution/ organization/ office, to:

a)The employees (Regular/Adhoc/Contractual/ Daily Wagers/ retired Government Officials/ Private individuals) who may have to be in direct contact and care of COVID 19 patients

b)Private healthcare Institution

c)Private person engaged by the Health Care Institutions / Organisations (both public and private) through an Agency

d)Community Health Workers (ASHAs and ASHA Facilitators)

e)Volunteer drafted for COVID 19 related responsibilities by the Government officials authorized by the Central/State/UT Government


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