Page 755 - The Central Motor Vehicles Rules, 1989

ANNEXURE-XIII THE CENTRAL MOTOR VEHICLE RULES, 1989 727

6. Bank Account no. of the legal representatives of the deceased with name and
address of the bank
7. Any other document found relevant
In Injury Cases:
1. Multi angle photographs of the injured
2. Proof of age of the deceased which may be in form of (a) Birth Certificate; (b) School
Certificate; (c) Certificate from Gram Panchayat (in case of illiterate); (d) Aadhaar
Card
3. Proof of Occupation and Income of the deceased which may be in form of (a) Pay
slip/salary certificate (salaried employee); (b) Bank statements of the last six
months; (c) Income-tax Return; Balance Sheet
4. Treatment record, medical bills and other expenditure.
5. Disability certificate (if available)
6. Proof of absence from work where loss of income on account of injury is being
claimed, which may be in the form of (a) Certificate from the employer; (b) Extracts
from the attendance register.
7. Proof of reimbursement of medical expenses by employer or under a Mediclaim
policy, if taken
8. Any other document found relevant
FORM-XIII
BEFORE THE MOTOR ACCIDENT CLAIMS TRIBUNAL
....................................... Petitioner(s)
Versus
......................................... Respondent(s)
FORMAT OF WRITTEN SUBMISSIONS TO BE FILED BY PARTIES
IN DEATH CASES
1. Date of accident
2. Name of the deceased
3. Age of the deceased
4. Occupation of the deceased
5. Income of the deceased
6. Name, age and relationship of legal representatives of deceased

S. No. Name Age Relation
1.
2.
3.
4.

5.