tiktok³ÉÈË°æ

The Motor Claim Form is a crucial document used in the Nigerian insurance sector for processing claims related to vehicle incidents and accidents. This document is required whenever a policyholder needs to make a claim under their motor vehicle insurance policy in Nigeria. The form is designed to capture comprehensive information about the incident, including details about the policyholder, the insured vehicle, the circumstances of the accident, third party involvement, and any resulting damages or injuries. It complies with requirements set by the Insurance Act 2003, NAICOM regulations, and the Motor Vehicles (Third Party Insurance) Act. The form serves as the foundation for the claims assessment process and must be completed accurately to ensure proper claims handling and settlement under Nigerian law.

1. Policyholder Information: Personal/company details of the policyholder including policy number, contact information, and insurance coverage details

2. Vehicle Details: Specific information about the insured vehicle including make, model, registration number, and current condition

3. Incident Details: Comprehensive information about when, where, and how the incident occurred, including weather and road conditions

4. Driver Information: Details about who was driving at the time of incident, including license information and relationship to policyholder

5. Damage Description: Detailed description of damage to the insured vehicle, including photographs and damage marking diagram

6. Third Party Information: Details of other parties involved in the incident, including their insurance information and vehicle details

7. Witness Information: Contact details and statements from any witnesses to the incident

8. Police Report: Details of police involvement, including report numbers and officer information if applicable

9. Declaration: Policyholder's declaration of truth and signature section, including fraud warnings and data protection notice