Are you looking for an indemnity bond format to claim an insurance payout when the original policy document is lost? You’re in the right place. Below is a legally useful format commonly accepted by insurers like SBI Life, and you can download it for free – no copyright issues!
📝 What Is an Indemniy Bond for Lost Policy?
An indemnity bond is a legal document used to indemnify (i.e., protect) the insurance company when the original policy document has been lost, misplaced, or destroyed. This bond ensures that the company is not liable for future claims related to that lost document.
📌 When Is This Bond Needed?
You may need this bond if:
- The original life insurance policy document is lost
- You’re a nominee or legal heir claiming the maturity/death benefit
- The insurer asks for a formal indemnity bond to process your claim
📂 Download Indemnity Bond Format (PDF)
✅ No Copyright | Free to Use | Editable Format
✅ Accepted by most insurance companies like SBI Life, LIC, ICICI Prudential
✅ Can be used by nominees, heirs, or assignees
👉 Click here to download the Indemnity Bond Format (PDF)
📃 Sample Preview of the Document
Here’s a preview of what the bond contains:
- Names and addresses of all payees & surety
- Policy number and sum assured
- Declaration of the lost original document
- Legal indemnification clause
- Signature of witnesses, policyholder, and surety
⚠️ Important Notes
- This bond must usually be executed on a non-judicial stamp paper (value as per state rules)
- Some insurers may also require a Notary attestation or Affidavit
- Make sure to fill all names and policy details accurately
📎 Related Resources
- How to file an insurance claim without the original policy
- Sample affidavit for lost insurance documents
📢 Disclaimer
This document is provided for general information and convenience. You should verify with your specific insurance company if any additional documentation or wording is required.

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