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Obtaining Assistance in Filling Insurance Forms

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Step 1: Driver immediately visit motor traffic division of police station after the accident.
Step 2: Police issues an Extract of Complain for insurance form (police 424 form)
Step 3: The driver fills ‘424 form’ (police 424 form) given by the police and submits it to the relevant insurance company to collect the insurance application form.
Step 4: The driver visits motor traffic division in police station and gets assistance to fill Insurance form.
Step 5: The driver visits motor traffic division in police station and gets assistance to fill Insurance form.
Step 6: The driver submits filled application form to the insurance company.

Qualification Criteria

The person concerned should have been subjected to a motor accident and encountered damages or loss.
The person concerned should have motor vehicle insurance for the damaged vehicle.


Submission Procedure

Visit Police Station
The police station issues an Extract of Complain for Insurance form to the person concerned.

Visit Respective Insurance Company
Applicant should obtain an insurance application form from Insurance Company.

Visit Police Station ( For the Second Time )
Applicant should request for assistance in filling the Insurance Application Form by visiting to motor traffic division at the police station.

Working hours
Police Station:
24/7/365 days

Documents required
1.Insurance certificate
2.Driving license
3.Revenue License

Forms: Extract of Complain for Insurance form issued by the police station (Police form 424).
Insurance form - Issued by the insurance company.

Application Forms
The Traffic Division of the Police Station issues no application forms

Note :Extract of Complain for Insurance form issued by police station form 424 - (police 424 form).
Insurance form issued by insurance company

Time line

Process Time Line
Police Station
Within 15minutes

Working Hours
Police Station – 24/7/365 days

Costs related to the service
This service can be obtained free of charge

Fines and Surcharges
Not applicable for this service

Support Documents Required

1. Insurance certificate
2. Driving license
3. Revenue License

Service Responsibility Matrix
OIC(Officer In Charge):Traffic division ( Police Station )
OIC ( Officer In Charge) :Police station

Special Case
Not applicable for this service

Sample form with dummy data
No sample application forms for this service


Organization Information

Department of Police

Police Head Quarters,
Colombo 01.


Mr. Lasitha Weerasekara
Telephones:+94-11-2421111 / +94-11-2327711-2-3
Fax Nos:+94-11-234553
Email:telligp@police.lk
Website: www.police.lk

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