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Motor Insurance Claim (India)

Motor Insurance Claim (India)

MOTOR INSURANCE CLAIM FORM

Motor Vehicles Act 1988 | Insurance Act 1938 | IRDAI Motor Insurance Guidelines

Date: [Claim Date] | Policy No.: [Policy Number]

Insurer: [Insurer Name] | Claim Type: [Claim Type]

1. INSURED DETAILS

Name: [Insured Name]

Aadhaar: [Insured Aadhaar]

Address: [Insured Address]

Mobile: [Insured Phone]

2. VEHICLE DETAILS

Registration Number: [Vehicle Reg Number]

Make / Model / Year: [Vehicle Make Model Year]

Insured Declared Value (IDV): Rs. [Vehicle IDV]

Driver at Time of Incident: [Driver Name]

Driver's Licence: [Driver Licence]

3. INCIDENT DETAILS

Date: [Incident Date] | Time: [Incident Time]

Location: [Incident Location]

Description of Incident:

[Incident Description]

Damage Description:

[Damage Description]

Authorised Garage: [Garage Name]

FIR Details: [FIR Details]

Third-Party Details:

[Third Party Details]

4. DECLARATION

I, [Insured Name], declare that all information provided in this Motor Insurance Claim Form is true, correct, and complete to the best of my knowledge. I confirm that the vehicle was being driven by a licenced driver with a valid licence for the class of vehicle at the time of the incident. I understand that any material misstatement or suppression of facts may result in repudiation of this claim under the Insurance Act 1938 and applicable IRDAI regulations.

Signed at _________________ on [Claim Date].

Insured

________________

Signature

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What Is a Motor Insurance Claim (India)?

A Motor Insurance Claim in India sets out the rights and obligations of the parties on the matter it concerns and records the terms they have agreed.

All motor vehicles used on public roads in India are required by Section 146 of the Motor Vehicles Act 1988 to carry at least third-party liability insurance. The policy covers legal liability of the insured towards third parties for death, bodily injury, or property damage caused by or arising out of the use of the vehicle. Most vehicle owners purchase thorough (package) policies that additionally cover own damage to the vehicle.

Motor insurance in India is sold by general insurance companies licensed by IRDAI. The premium for third-party cover is fixed by IRDAI annually; the premium for own-damage cover is market-determined. IRDAI's Motor Insurance Service Providers (MISPs) and survey regulations govern how claims are processed and assessed.

The India Motor Insurance Claim (India) claim form covers all three categories of motor claims: own damage, third-party liability, and theft. Accurate and prompt submission of this form is essential as delayed intimation is the most common ground for claim repudiation by motor insurers.

The legal framework governing the Motor Insurance Claim (India) in India draws on several key statutes and regulatory bodies. Under Indian law, the Indian Contract Act 1872 governs contractual obligations, with Section 10 setting essential requirements for valid agreements. The Companies Act 2013 regulates corporate entities through the Registrar of Companies (ROC) and Ministry of Corporate Affairs (MCA). The Industrial Disputes Act 1947 and state labour commissioners govern employment disputes. The Information Technology Act 2000 and IT (Reasonable Security Practices) Rules 2011 protect personal data. The Income Tax Act 1961 and Goods and Services Tax Act 2017 govern tax obligations through the Central Board of Direct Taxes (CBDT) and GST Council. Parties executing a Motor Insurance Claim (India) in India should confirm the document reflects current law, including any amendments enacted since the original drafting date. The Indian Contract Act, 1872 sets the foundational requirements.

When Do You Need a Motor Insurance Claim (India)?

You need a Motor Insurance Claim form whenever your vehicle is involved in an accident, is damaged due to a covered peril, is stolen, or when your vehicle causes injury or damage to a third party.

You need this form immediately after an accident or incident — most policies require intimation within 24 to 48 hours. Delayed intimation gives the insurer grounds to repudiate the claim, even if the loss is otherwise covered.

You need this form for own-damage claims when your vehicle is damaged in a collision, by fire, flood, cyclone, earthquake, riot, or malicious damage, and you hold a thorough policy.

You need this form when your vehicle injures or kills another person or damages their property — even if the accident was not your fault — to notify your insurer so they can handle the third-party liability.

You need this form for a theft claim when your vehicle is stolen. File an FIR with police first, then submit this form to the insurer within the timeframe specified in your policy.

You also need this form after a hit-and-run accident, where the third-party vehicle is uninsured, to seek compensation under the Solatium Fund established under the Motor Vehicles Act 1988.

Parties in India should prepare a Motor Insurance Claim (India) proactively rather than waiting for a dispute to arise. Courts interpret agreements based on the written terms rather than oral representations. Under Indian law, the Indian Contract Act 1872 governs contractual obligations, with Section 10 setting essential requirements for valid agreements. The Companies Act 2013 regulates corporate entities through the Registrar of Companies (ROC) and Ministry of Corporate Affairs (MCA). The Industrial Disputes Act 1947 and state labour commissioners govern employment disputes. The Information Technology Act 2000 and IT (Reasonable Security Practices) Rules 2011 protect personal data. The Income Tax Act 1961 and Goods and Services Tax Act 2017 govern tax obligations through the Central Board of Direct Taxes (CBDT) and GST Council. Where the transaction involves regulated activities, prior approval from the relevant authority may be required before execution.

What to Include in Your Motor Insurance Claim (India)

A complete India Motor Insurance Claim form must contain the following key elements.

Policy details: Policy number, insurer name, policy period, type of policy (thorough/third-party), and sum insured/IDV.

Vehicle details: Registration number, make, model, colour, year of manufacture, engine number, chassis number, and class of vehicle.

Driver details: Name, address, driving licence number, licence class, and validity.

Accident/incident details: Date, time, and exact location of the incident; description of how the accident or loss occurred; type of claim (own damage, third party, theft).

Damage/loss details: Description of damage to the vehicle; estimated cost of repairs; in theft cases, the estimated value and FIR details.

Third-party details (if applicable): Name, address, vehicle registration, insurance details, and description of injury or property damage caused.

FIR details: Police station name, FIR number, and date of filing.

Garage details (for own-damage claims): Name, address, and contact details of the authorised garage where repairs will be carried out.

Declaration: Signed declaration by the insured confirming the accuracy of all particulars — material misrepresentation in a motor insurance claim is a criminal offence under Section 420 of the Indian Penal Code 1860 and also voids the claim under the Insurance Act 1938.

Additional compliance elements for a Motor Insurance Claim (India) used in India include: Under Indian law, the Indian Contract Act 1872 governs contractual obligations, with Section 10 setting essential requirements for valid agreements. The Companies Act 2013 regulates corporate entities through the Registrar of Companies (ROC) and Ministry of Corporate Affairs (MCA). The Industrial Disputes Act 1947 and state labour commissioners govern employment disputes. The Information Technology Act 2000 and IT (Reasonable Security Practices) Rules 2011 protect personal data. The Income Tax Act 1961 and Goods and Services Tax Act 2017 govern tax obligations through the Central Board of Direct Taxes (CBDT) and GST Council. Forms-legal.com provides this template as a starting point for India-compliant documentation.

Cite this page

Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Motor Insurance Claim (India) (India) [Legal document template]. Forms Legal. https://forms-legal.com/india/personal/insurance/motor-insurance-claim-india

MLA

"Motor Insurance Claim (India) (India)." Forms Legal, 2026, https://forms-legal.com/india/personal/insurance/motor-insurance-claim-india.

BibTeX
@misc{formslegal-motor-insurance-claim-india,
  author       = {{Forms Legal}},
  title        = {Motor Insurance Claim (India) (India)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/india/personal/insurance/motor-insurance-claim-india}},
  note         = {Free legal document template. Based on Indian Contract Act, 1872}
}

Frequently Asked Questions

Based on Indian Contract Act, 1872 — Template last modified June 2026Verify the source →

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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