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    NEW INDIA-discharge Voucher

    Uploaded by

    Anilkumar G
    The insured party has taken delivery of their repaired motor vehicle after an accident. They certify that all repairs have been carried out to their satisfaction by the repair shop. They authorize payment of the repair costs by New India Assurance Company Limited, and such payment will discharge the insurance company of all liability related to this claim. The insured and a witness have signed the discharge voucher to finalize the claim.

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    NEW INDIA-discharge Voucher

    Uploaded by

    Anilkumar G
    30K views1 page
    The insured party has taken delivery of their repaired motor vehicle after an accident. They certify that all repairs have been carried out to their satisfaction by the repair shop. They authorize payment of the repair costs by New India Assurance Company Limited, and such payment will discharge the insurance company of all liability related to this claim. The insured and a witness have signed the discharge voucher to finalize the claim.

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    NEW INDIA-discharge voucher.doc

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    The insured party has taken delivery of their repaired motor vehicle after an accident. They certify that all repairs have been carried out to their satisfaction by the repair shop. They authorize payment of the repair costs by New India Assurance Company Limited, and such payment will discharge the insurance company of all liability related to this claim. The insured and a witness have signed the discharge voucher to finalize the claim.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    30K views1 page

    NEW INDIA-discharge Voucher

    Uploaded by

    Anilkumar G
    The insured party has taken delivery of their repaired motor vehicle after an accident. They certify that all repairs have been carried out to their satisfaction by the repair shop. They authorize payment of the repair costs by New India Assurance Company Limited, and such payment will discharge the insurance company of all liability related to this claim. The insured and a witness have signed the discharge voucher to finalize the claim.

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    © All Rights Reserved
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    Claim No:

    …………………………..

    DISCHARGE VOUCHER

    I/WE have this day taken delivery of ……………………… Motor


    ………………………
    …………………………………………Registered No ……………………………….
    and
    hereby certify that the whole of the repairs and replacements for which I/we have
    claimed
    have been carried out to my/our entire satisfaction by
    …………………………………….
    I/We hereby authorize and direct NEW INDIA ASSURANCE COMPANY LIMITED
    to pay the accounts for such and such and such payments will discharge NEW INDIA
    ASSURANCE COMPANY LIMITED from all liability in connection with my/ our
    claim for damage to such motor vehicle arising out of accident which occurred on:
    ………………………. (date) ……………………….. (month ) ………………….
    (year )

    Signature of Insured:
    ……………………………………………………………………….

    Witness: ………………………………….. Date:


    ……………………………….

    N.B.No aacount recognized unless accompanied by this discharge voucher.

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