Insurance Claim Form Template for United Arab Emirates

Create a bespoke document in minutes,  or upload and review your own.

4.6 / 5
4.8 / 5

Let's create your Insurance Claim Form

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Insurance Claim Form

I need an Insurance Claim Form for a commercial property damage claim in the UAE, compliant with UAE Insurance Authority regulations, that includes sections for documenting water damage from a March 2025 flooding incident and allows for multiple contractor assessments.

Document background
The Insurance Claim Form is a crucial document used in the United Arab Emirates insurance sector for initiating and processing insurance claims. It is designed in accordance with UAE Insurance Authority requirements and Federal Law No. 6 of 2007, along with related regulations. This document should be used whenever a policyholder needs to make a claim under their insurance policy, whether for property damage, medical expenses, liability, or other covered losses. The form captures essential information including policyholder details, incident description, claim amount, and supporting documentation requirements. As a standardized Insurance Claim Form, it ensures consistent claim processing across different insurance types while maintaining compliance with UAE regulatory requirements. The document is structured to facilitate efficient claim assessment and processing while protecting the rights of all parties involved.
Suggested Sections

1. Policyholder Information: Essential details of the policyholder including policy number, name, Emirates ID, contact information and address

2. Insurance Policy Details: Specific information about the insurance policy including type of coverage, policy period, and sum insured

3. Incident Details: Comprehensive description of the incident including date, time, location, and circumstances

4. Claim Details: Specific information about the loss or damage being claimed, including estimated value

5. Supporting Documentation Checklist: List of required documents to support the claim

6. Declaration and Authorization: Claimant's declaration of truth and authorization for the insurance company to investigate

7. Payment Details: Bank account and other payment information for claim settlement

Optional Sections

1. Third Party Details: Used when the claim involves third parties, including their contact information and involvement details

2. Police Report Details: Required for claims involving accidents, theft, or other incidents requiring police involvement

3. Medical Information: Required for health insurance or personal injury claims, including treatment details and medical history

4. Property Damage Details: Used for property insurance claims, including detailed description of damaged items

5. Witness Information: Optional section for including details of any witnesses to the incident

6. Previous Claims History: May be required for certain types of claims or insurance policies

Suggested Schedules

1. Schedule A - Document Checklist: Detailed list of required supporting documents based on claim type

2. Schedule B - Claim Assessment Form: For internal use by insurance company to evaluate the claim

3. Appendix 1 - Privacy Notice: Information about how personal data will be processed and protected

4. Appendix 2 - Terms and Conditions: Standard terms and conditions for claim submission and processing

5. Appendix 3 - Medical Authorization Form: Required for health-related claims to access medical records

6. Appendix 4 - Item Valuation Form: For property claims requiring detailed value assessment of damaged items

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant Industries

Insurance

Healthcare

Real Estate

Construction

Manufacturing

Retail

Transportation

Hospitality

Financial Services

Professional Services

Energy

Maritime

Relevant Teams

Claims Processing

Legal

Compliance

Customer Service

Risk Management

Operations

Documentation

Quality Assurance

Underwriting

Customer Relations

Policy Administration

Relevant Roles

Insurance Claims Manager

Claims Adjuster

Risk Manager

Compliance Officer

Insurance Underwriter

Legal Counsel

Claims Processing Officer

Customer Service Representative

Insurance Broker

Loss Assessor

Policy Administrator

Operations Manager

Documentation Specialist

Quality Assurance Manager

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Insurance Claim Form

UAE-compliant Insurance Claim Form for submitting and processing insurance claims under UAE Federal Insurance Laws.

find out more

Dental Insurance Verification Form

UAE-compliant dental insurance verification form for confirming coverage and benefits prior to dental treatment.

find out more

Accident Claim Form

UAE-compliant form for filing insurance claims related to accidents, capturing all essential accident details and damage information as per UAE Federal Traffic Law.

find out more

Medical Claim Form

UAE-compliant form for submitting medical expense reimbursement claims to insurance providers, adhering to federal and emirate-level healthcare regulations.

find out more

Insurance Verification Form

A UAE-compliant form for official verification of insurance coverage status and details, meeting UAE Insurance Authority requirements.

find out more

Car Insurance Form

A UAE-compliant motor vehicle insurance contract establishing coverage terms, conditions, and obligations between insurer and policyholder under UAE Federal Laws.

find out more

Dental Claim Form

UAE-compliant dental insurance claim form for processing and reimbursement of dental treatment expenses under UAE healthcare regulations.

find out more

Subrogation Letter

A formal legal document under UAE law that establishes an insurer's right to pursue recovery from a third party after settling a claim with the insured.

find out more

Subrogation Form

A UAE-governed legal document transferring recovery rights from an insured party to their insurer after claim settlement, enabling the insurer to pursue recovery against responsible third parties.

find out more

Ship Claim Form

A standardized form for filing maritime claims in the UAE, compliant with UAE Maritime Commercial Law and international maritime conventions.

find out more

Professional Claim Form

A UAE-compliant formal document for filing professional liability claims under UAE Federal Laws, used to initiate proceedings for professional negligence or misconduct.

find out more

Policy Cancellation Request Letter

A formal letter requesting insurance policy cancellation in the UAE, compliant with local insurance laws and regulations.

find out more

Medical Charges Reimbursement Form

UAE-compliant form for claiming reimbursement of medical expenses, aligned with federal healthcare and insurance regulations.

find out more

Health Insurance Cancellation Letter

A UAE-compliant formal letter template for cancelling health insurance policies, meeting federal and emirate-specific regulatory requirements.

find out more

Facility Claim Form

A UAE-compliant form for submitting claims related to banking and financial facilities, adhering to UAE Central Bank regulations and banking laws.

find out more

Claim Denial Letter

A formal letter issued under UAE law notifying an insurance claimant of claim denial, including denial reasons and appeal rights.

find out more

Life Insurance Cancellation Letter

A formal letter for cancelling life insurance policies in the UAE, conforming to local insurance regulations and legal requirements.

find out more

Travel Insurance Claim Form

A UAE-compliant travel insurance claim form for processing various travel-related insurance claims under UAE Federal Insurance Laws.

find out more

Dental Insurance Breakdown Form

UAE-compliant dental insurance form detailing treatment procedures, costs, and coverage calculations for processing dental claims and payments.

find out more

Home Insurance Cancellation Letter

A formal letter used in the UAE to terminate a home insurance policy, complying with local insurance regulations and documentation requirements.

find out more

Travel Insurance Form

UAE-compliant travel insurance form detailing coverage terms, conditions, and claim procedures for travel-related risks under UAE Central Bank oversight.

find out more

Driver Exclusion Form

A UAE-compliant legal form that excludes specified individuals from vehicle insurance coverage under a particular policy.

find out more

Auto Insurance Cancellation Letter

A formal letter for cancelling automobile insurance coverage in the UAE, compliant with UAE Federal Insurance Law and regulations.

find out more

Group Insurance Form

UAE-governed group insurance agreement establishing coverage terms and benefits for organizational members, compliant with federal insurance regulations.

find out more

Insurance Cancellation Form

UAE-compliant form for formal cancellation of insurance policies, adhering to UAE Federal Insurance Laws and regulations.

find out more

Download our whitepaper on the future of AI in Legal

By providing your email address you are consenting to our Privacy Notice.
Thank you for downloading our whitepaper. This should arrive in your inbox shortly. In the meantime, why not jump straight to a section that interests you here: https://www.genieai.co/our-research
Oops! Something went wrong while submitting the form.

Genie’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; Genie’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

Our bank-grade security infrastructure undergoes regular external audits

We are ISO27001 certified, so your data is secure

Organizational security

You retain IP ownership of your documents

You have full control over your data and who gets to see it

Innovation in privacy:

Genie partnered with the Computational Privacy Department at Imperial College London

Together, we ran a £1 million research project on privacy and anonymity in legal contracts

Want to know more?

Visit our Trust Centre for more details and real-time security updates.