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Satisfaction Voucher
Satisfaction Voucher
To,
Tata-AIG General Insurance Co. Ltd.
SCO 232-234,2nd Floor
Sector-34A
Chandigarh
Vehicle Number__________________________A/c.-_____________________________________
I/we hereby confirm that the damages claimed by me/us under the above mentioned claim have been
repaired to my/our utmost satisfaction. I/we request you to kindly pay the claim amount of
Rs.____________(Rupees_______________________________________________________) directly
I/we accept the settlement in full and final and discharge of all liabilities arising out of this claim upon
Regards,
Signature of Insured
Name__________________________
Rubber Stamp in case insured is a firm