[To be obtained Rs 100/- Stamp paper - TO BE NOTARISED]
Letter of Subrogation
Claim No: Policy No: Incident Date: Insured
1. In consideration of you paying us the sum of Rs._____/-(Rupees only) in pursuance of the said policy in respect of loss due to theft, we, the owners, hereby empower and authorize you to legally prosecute all our actionable claims. This includes rights and remedies both in equity and at law against the administration, other public bodies, and persons whosoever is liable in respect thereof and/or for whom or other financial assistance, etc., in respect of such loss or damage.
2. We hereby subrogate to you all rights and remedies that we have as a consequence of or arising from theft to the said properties. We further grant you full power to take and use all lawful ways and means to recover the said goods/any part thereof and/or loss from whom it may concern.
3. We also hereby authorize you to use our name in any action or proceedings that you may bring either in your own name or in relation to any of the matters hereby authorized to you. We undertake for ourselves to assist and concur in any matters or proceedings which you may deem expedient or necessary in any such actions or proceedings and to execute all deeds and/or documents including any and all pleadings and reasons which may be necessary, and generally to assist therein by all means in our power.
4. We hereby appoint you, your officers, and agents, and their successors severally as our agents and attorneys-in-fact with irrevocable power to collect all such claims and to begin, prosecute, compromise, arbitrate, or withdraw either in our name or in your name but at your expense, any and all legal proceedings which may seem necessary to enforce such claim or claims, including proceedings before any tribunal/forum, and to execute in our name only documents which may be necessary to carry into effect the purpose of this agreement.
5. We further undertake, if called upon by you, to institute any such action or proceedings that you may direct on your behalf, it being understood that you are to indemnify us and any other persons whose names may necessarily be used against any costs, charges, or expenses which may be incurred in respect of any action or proceedings that may be taken by virtue of this agreement.
6. The payment receipted for herein is accepted with the undertaking that the said payment shall not inure to the benefit of any tort, lessor, or misfeasance under the writer. This does not waive any rights or remedies which are subrogation or otherwise against any tort, lessor, or misfeasance, and acceptance of this receipt shall not prejudice or take any right or remedies which the said underwriter would otherwise have by virtue of such payments.
7. We further agree that any money collected from any government, state, or authorities or any persons shall be your property, and if received in the first instance by the undersigned, we undertake to make over to you immediately the amount so recovered.
8. We hereby further agree that in the event of the lost goods subsequently being traced, we undertake to accept and take delivery of the same, and the claim shall then be readjusted on the correct basis of the then loss. In the event of any refund proving to be due to the underwriter on demand, we undertake to make such refund to you.
TO WITNESS WE HAVE SET OUR HAND THIS ____ DAY OF _____ 200.., Signature: _______ Witness: Name: _____________ Address: _____________
Declaration
Mr./Mrs./M/s. ______________________, S/o __________________ registered a theft claim against policy no. ___________________ and the Claim No. is _________________, for the theft of my vehicle bearing Registration no. ______________ Model ______________. In this regard, I have received Rs._____________ towards my theft claim payment from Reliance General Insurance Company as full and final settlement, and I have agreed to the same. As of today, the vehicle is not traceable/recovered. In the future, if the vehicle gets traced/recovered, I shall extend my support and fullest cooperation to Reliance General Insurance Company Limited to get the possession of the same from Police/Courts in its favor at my own cost. The above declaration is given of my own free will, without undue influence or coercion.
(Signature of the insured) Date: [Place: **Location**: Chennai, India]
Letter of Subrogation
Claim No: Policy No: Incident Date: Insured
1. In consideration of you paying us the sum of Rs._____/-(Rupees only) in pursuance of the said policy in respect of loss due to theft, we, the owners, hereby empower and authorize you to legally prosecute all our actionable claims. This includes rights and remedies both in equity and at law against the administration, other public bodies, and persons whosoever is liable in respect thereof and/or for whom or other financial assistance, etc., in respect of such loss or damage.
2. We hereby subrogate to you all rights and remedies that we have as a consequence of or arising from theft to the said properties. We further grant you full power to take and use all lawful ways and means to recover the said goods/any part thereof and/or loss from whom it may concern.
3. We also hereby authorize you to use our name in any action or proceedings that you may bring either in your own name or in relation to any of the matters hereby authorized to you. We undertake for ourselves to assist and concur in any matters or proceedings which you may deem expedient or necessary in any such actions or proceedings and to execute all deeds and/or documents including any and all pleadings and reasons which may be necessary, and generally to assist therein by all means in our power.
4. We hereby appoint you, your officers, and agents, and their successors severally as our agents and attorneys-in-fact with irrevocable power to collect all such claims and to begin, prosecute, compromise, arbitrate, or withdraw either in our name or in your name but at your expense, any and all legal proceedings which may seem necessary to enforce such claim or claims, including proceedings before any tribunal/forum, and to execute in our name only documents which may be necessary to carry into effect the purpose of this agreement.
5. We further undertake, if called upon by you, to institute any such action or proceedings that you may direct on your behalf, it being understood that you are to indemnify us and any other persons whose names may necessarily be used against any costs, charges, or expenses which may be incurred in respect of any action or proceedings that may be taken by virtue of this agreement.
6. The payment receipted for herein is accepted with the undertaking that the said payment shall not inure to the benefit of any tort, lessor, or misfeasance under the writer. This does not waive any rights or remedies which are subrogation or otherwise against any tort, lessor, or misfeasance, and acceptance of this receipt shall not prejudice or take any right or remedies which the said underwriter would otherwise have by virtue of such payments.
7. We further agree that any money collected from any government, state, or authorities or any persons shall be your property, and if received in the first instance by the undersigned, we undertake to make over to you immediately the amount so recovered.
8. We hereby further agree that in the event of the lost goods subsequently being traced, we undertake to accept and take delivery of the same, and the claim shall then be readjusted on the correct basis of the then loss. In the event of any refund proving to be due to the underwriter on demand, we undertake to make such refund to you.
TO WITNESS WE HAVE SET OUR HAND THIS ____ DAY OF _____ 200.., Signature: _______ Witness: Name: _____________ Address: _____________
Declaration
Mr./Mrs./M/s. ______________________, S/o __________________ registered a theft claim against policy no. ___________________ and the Claim No. is _________________, for the theft of my vehicle bearing Registration no. ______________ Model ______________. In this regard, I have received Rs._____________ towards my theft claim payment from Reliance General Insurance Company as full and final settlement, and I have agreed to the same. As of today, the vehicle is not traceable/recovered. In the future, if the vehicle gets traced/recovered, I shall extend my support and fullest cooperation to Reliance General Insurance Company Limited to get the possession of the same from Police/Courts in its favor at my own cost. The above declaration is given of my own free will, without undue influence or coercion.
(Signature of the insured) Date: [Place: **Location**: Chennai, India]