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The 11^th August 2021

Bihar Motor Vehicle (Amendment-1) Rules, 2021

No. 06/Insurance (Dept.)-20/2018-4887—In Compliance of the judgment passed by

the Hon. Supreme Court of India in Civil Appeal Case No.-9936 and 9937/2016, Usha Devi

& others Vs Union of India, through Act No-32/2019, in the Motor Vehicle Act, 1988, for

the purpose of speedy disposal of compensation claims arising out of vehicular accidents, in

light of the provisions contained in the Act, under the Bihar Motor Vehicle Rules, 1992,

related with Claim Tribunals, need to be amended at the earliest in exercise of the powers

vested in the State Government, vide Sections 165,176 and 211 of the Act, the proposed

amended draft in the Motor Vehicles Rule, 1992 as mandated under Section-212 of the

Motor Vehicle Act, 1988, for information to the affected persons and for seeking objections

and suggestions, was published on the Departmental website-www.transport.bih.nic.in for

thirty days from the date of the publication of the draft.

In this regard, the Governor of Bihar makes the following rules after due consideration by

the State Government on the objections and suggestions received till the above-fixed date: -

बहर गजट [सधरण 15 फरवर% 222

Short title, date of commencement and extent: -

(a)

These Rule may be called as Bihar Motor Vehicle (Ammendent-1) Rules,

2021

(b)

It shall come into force from the date of 15-09-2021.

(c)

It shall be applicable in the whole of the State of Bihar.

In Chapter-X of Bihar Motor Vehicle Rules, 1992, the title ‘Dava Adhikaran’ is

being substituted as ‘Dava Nyayadhikaran’.

Within Chapter-X of Bihar Motor Vehicle Rules, 1992, prior to the present Rule-

226, the following Rules-225A, 225B, 225C, 225D, 225E & 225F are being

instituted serially: -

225A:-Under the Motor Vehicle Act, 1988, the disposal of the compensation cases arising

out of vehicular accidents, the Claim Tribunal will dispose claims cases according to

amended rules (225A to 225F) of this chapter.

225B:-Prescribed authority, fund and procedure for payment of interim compensation to

grievously hurt person or dependents of the dead person due to motor vehicle

accident.

(1)

Prescribed Authority for payment of Interim Compensation: -

According to this Rule, in case of death of a person due to vehicular accident, for the

purpose of payment of immediate interim compensation to the dependent of dead or

a person who has been grievously hurt, all the Sub-divisional Officers in the State

shall be 'Accidental Claims Inquiry Officer' and all the District Magistrates shall be

‘Accidental Claims Assessment Officer’.

(2)

Bihar Vehicle Accident Assistance Fund: -

(a)

In case of death of a person due to vehicular accident, for the purpose of payment of

immediate interim compensation to the dependent of dead or a person who has been

grievously hurt, an amount of Rs. 50 crores shall be made in the form of Budgetary

allocation for immediate payment from the ‘Bihar Vehicle Accident Assistance

Fund’. In light of expenditure from this fund, the Bihar Road Safety Council shall

make available additional amount from time to time and procedure will be fixed for

the deposits in the form of reimbursement from the concerned insurance company or

vehicle owner, with regard to the expenditure made in the form of payment of the

interim compensation amount

(b)

Lead Agency, constituted under Bihar Road Safety Council shall make available

allocations from the ‘Bihar Vehicle Accident Assistance Fund’ to the District

Magistrates. This fund shall be used in the form of Revolving Fund for immediate

payment of interim compensation amount to the victims of Motor Vehicle Accident.

In addition to this, needful action shall be taken to ensure reimbursement from

insurance company or vehicle owner within the fixed time.

(c)

Secretary, District Road Safety Committee cum District Transport Officer shall take

needful action for payment to actual beneficiaries from this fund and maintain

records of this separately.

(d)

The detailed process of creation of ‘Bihar Vehicle Accident Assistance Fund’,

budgetary provision, process of allocation and reimbursement shall be fixed by the

Transport Department.

(3)

Process of Interim Compensation Payment: -

(a)

The District Transport Officer after obtaining relevant information and report from

the concerned Officer In-charge of the Police Station, the Medical Officer In-charge

of the local Primary Health Center/the Sub-Divisional Hospital/In-charge of Sadar

Hospital/ Chief Medical Officer and the Office of the Motor Vehicle Inspector, on

confirmation of death or being grievously hurt due to a vehicle accident, will send a

बहर गजट [सधरण 15 फरवर% 222

report to the Accident Claims Inquiry Officer-cum-Sub-Divisional Officer for

payment of interim compensation, in light of the notification number 2022 (A) dated

22.05.2018 of the Ministry of Road Transport and Highways under the Motor

Vehicles Act, 1988.

(b)

The following documents shall be required by the Accident Claims Inquiry Officer,

in addition to the application in the prescribed Form C-1 in the case of the deceased

and in the prescribed Form C-2 in the case of injured, for payment of interim

compensation from the applicant/claimant: -

(i)

Accident investigation report by Officer In-charge of Police station (Accident

Investigation Officer) (within one week in form C-4 part-II).

(ii)

Postmortem report in case of death due to vehicle accident or medical report in case

of grievous hurt by the In-charge/Chief Medical Officer.

(iii)

Inquiry report from Motor Vehicle Inspector in form C-4 Part-I relating to the

accidental vehicle.

(c)

It will not be necessary for the dependent of the deceased or grievously hurt person

to prove that the death or grievous injury in the accident had taken place due to

carelessness, neglect or latches of the vehicle owner, vehicle concerned or any other

person.

(d)

The Accident Claim Inquiry Officer-cum-Sub-Divisional Officer shall make

recommendation to the Accidental Claim Assessment Officer cum-District

Magistrate for immediate payment of interim compensation of Rs.5 Lakh (five lakhs)

to the dependent of the deceased person and Rs. 50,000(fifty thousand) to the

grievously hurt.

(e)

In light of the recommendation of Accident Claim Inquiry Officer-cum-Sub-

Divisional Officer, the Accidental Claim Assessment officer-cum-District Magistrate

or an officer authorized by him, shall accord sanction/approval of the interim

compensation payment from the ‘Bihar Vehicle Accident Assistance Fund’.

Thereafter, the District Transport Officer-cum-Secretary, District Road Safety

Committee shall make payment to the concerned person, in accordance with the

prescribed procedures upon proper identification and acknowledgement of the

receipt.

225C: -Dependents for receipt of Interim Compensation: -Under the provisions

contained

the

rules,

the

dependent

the

deceased

refers

to;

husband/wife of the married deceased. In case of the death of the married person, in the

absence of the husband/wife, in the case of no child, the mother/father. In case of the death

of an unmarried person, his/hermother/father and if the mother/father of the unmarried

deceasedare not alive, then sister and brother will be equally entitled. In both the cases, for

the married and the unmarried victim, payment will be made to the minor claimant through

the legal guardian.

225D: - Reimbursement of paid Interim Compensation: -

(a)

For the adjustment of the interim compensation amount paid to claimants

from Bihar Vehicle Accident Assistance Fund, the amount paid as Third-Party

Insurance Claims by the concerned insurance company for the insured vehicles, shall

be deposited in the bank account of the concerned district of the Bihar Vehicle

Accident Assistance Fund within the fixed period. In case of non-payment of the

payable amount by insurance company within specified time, the Accident Claims

Inquiry Officer can take effective steps for the recovery of the amount under the

Bihar Public Demand Recovery Act.

(b)

In case of uninsured vehicles, on the day of accident, the vehicle owner shall

deposit the amount in the bank account of the concerned district of the Bihar Vehicle

बहर गजट [सधरण 15 फरवर% 222

Accident Assistance Fund within the fixed period for the adjustment of the interim

payment of the compensation amount.

In case of refusal or apathy by the vehicle owner, the adjustment of the interim

payment of the compensation amount shall be done from the amount received from

the auction of the seized vehicle. If the amount received from the auction of the said

vehicle is less than the interim compensation amount paid to the accident victims,

then the remaining amount will be considered as immediately spent from the Bihar

Vehicle Accident Assistance Fund and needful action shall be taken by the Accident

Claim Inquiry Officer for recovery of the said amount from the vehicle owner.

225E- Claim Tribunal, Application and Process of Claim Disposal: -

1. Claim Tribunal: -

(a)

One State Level Claim Tribunal shall be constituted for the entire State of

Bihar U/S 165 of the Motor Vehicle Act, 1988, for fixation of immediate

compensation amount in case of death, grievous hurt or damage to property

arising from the motor vehicle accident.

(b)

The State Transport Appellate Tribunal working under the control of the

Transport Department, constituted U/S-89 (2) of the Motor Vehicle Act,

1988, shall be the competent Tribunal for this purpose with immediate effect,

in addition to its original work but the State Government keeping in view the

magnitude of work, may constitute additional Claim Tribunal and fix its

jurisdiction or may appoint additional members in the State Level Claim

Tribunal and authorize it for working as independent bench.

(c)

The claim cases arising out of vehicular accidents shall be filed before the

State Level Claim Tribunal and will be disposed of in accordance with

amended procedures after the date of implementation of the rules instituted in

Chapter-X of Bihar Motor Vehicle (Amendment-1) Rules, 2021.

Claim Application: -

(a)

The claim application shall be filed by the District Transport Officer before

Claim Tribunal on behalf of dependent of the deceased and victims, in

accordance with evaluation and interim payment of the compensation

amount. All relevant documentary evidence shall also be enclosed.

(b)

The dependent of the deceased and victims shall authorize the District

Transport Officer for filing application before the Claim Tribunal.

(c)

The District Transport Officer may file this application before the Claim

Tribunal through post, E-mail or web portal. The Claim Tribunal shall accept

such applications as Claim cases for grant of compensation.

(d)

No fee shall be payable for this.

Procedure for Disposal of Claims: -

The Claim Tribunal, accepting the application filed at the level of the District

Transport Officer as a claim case for grant of compensation, shall fix the

payable compensation amount within a maximum period of 60 days after

briefly hearing the matter. The local inspection and the trial of other

witnesses are not expected at the level of the Claim Tribunal for the claim

disposal procedure. The District Transport Officer / authorized Motor

Vehicle Inspector / authorized Enforcement Sub Inspector or authorized

Learned Advocate shall be able to participate in the hearing procedures of the

Claim Tribunal.

The Claim Tribunal shall conduct hearing district wise on daily basis and the

concerned officer from the district level can participate in it through VC.

बहर गजट [सधरण 15 फरवर% 222

The facility of Court Management System will be made available to the

Claims Tribunal and the facilities available in the software such as forms,

information and reports etc. can be used by the tribunal.

The process of claim settlement shall be as follows: -

(A)

Process for uninsured vehicles: -

(i)

In the course of compensation cases due to accident from uninsured vehicles,

the Claim Tribunal shall first ensure that the vehicle is compulsorily seized by the

police and shall not be released unless the concerned vehicle owner does not deposit

the compensation amount as fixed by the decision of the Claim Tribunal.

(ii)

In case of non-payment of the fixed compensation amount by the vehicle

owner, within 30 days of the order passed by the Claim Tribunal, the Accident

Claims Assessment Officer-cum-District Magistrate shall be authorized for

confiscation and public auction of the said vehicle.

(iii)

The amount received from public auction of the said vehicle shall be

deposited in bank account of the concerned district of the Bihar Vehicle Accident

Assistance Fund for the purpose of adjustment of interim compensation amount paid

to the victims.

(ii)

If the amount received in public auction will be less than the compensation

amount i.e., 5 lakhs (five lakhs) in case of death and fifty thousand in case of

grievous injury, as fixed by Claim Tribunal, then the difference amount shall be

considered as spent from the Bihar Vehicle Accident Assistance Fund.

(B)

Procedure for insured vehicles: -

(i)

All insurance companies, in every district, shall nominate one authorized

officer, representing their respective companies, who would extend their

cooperation to the accident victims in the inquiry conducted by the

Accidental Claim Inquiry Officer.

(ii)

The Accidental Claim Inquiry Officer shall send information to the

authorized officer of the concerned insurance company regarding the

payment of the interim compensation amount to the victims or their

dependents. If the said insurance company, as per its duty, immediately after

reimbursing deposit the interim compensation amount in the bank account of

the concerned district of the Bihar Vehicle Accident Assistance Fund, the

Accident Claim Inquiry Officer, at his level, shall send information to the

Claim Tribunal. Thereafter, the Claim Tribunal shall dispose of the

proceedings of the compensation case of the said accident which shall be

settled and maintained in records of the Tribunal. No further proceeding shall

be expected in this.

(iii)

The District Transport Officer of the local jurisdiction shall be authorized to

file compensation case on behalf of victim of every vehicle accident or his

dependent before the Claims Tribunal under section 166 (sub-section 1 (d))

of the Motor Vehicles Act, 1988.

Accordingly, the District Transport Officer, after payment of interim

compensation amount is expected to forward all the relevant documents for

consideration of the Claim Tribunal, as prescribed in the rules.

(iv)

The Claim Tribunal shall take cognizance and initiate the prescribed

procedure of the claim case filed by the vehicle accident victims or District

Transport Officer authorized by their dependents along with the documents

enclosed having verified personal details and the ‘Accident Inquiry Report’

received from the Officer In-Charge of the concerned Police Station.

बहर गजट [सधरण 15 फरवर% 222

(v)

The Claim Tribunal, after hearing the claim application received through the

District Transport Officer, shall dispose the claim cases, fixing the

compensation amount within a maximum period of 60 days. In this course,

no local inspection or examination of witnesses etc., shall be required. It shall

be expected that the decision is taken after brief hearing of the applicant and

the concerned insurance company and on basis of the documents and other

evidences.

(vi)

The amount fixed by the Claim Tribunal shall be paid by the concerned

insurance company in the bank account of the concerned district of the Bihar

Vehicle Accident Assistance Fund. If, in any special circumstance, a judicial

decision is passed by the Claim Tribunal at a rate higher than the amount

paid for interim compensation, then that entire amount will be deposited in

the bank account of the 'Bihar Vehicle Accident Assistance Fund' only and

needful action shall be taken for payment of the remaining amount except the

amount paid earlier to the accident victims from the said account.

225F- Hit and Run Cases: -

(1)

In the cases of hit and run vehicle accidents, the Accident Claim Inquiry Officer-

cum-Sub-Divisional Officer will make recommendation after inquiry regarding

payment of the compensation to the dependent of the deceased or grievously hurt

person, in the light of Motor Vehicle Act. The Accident Claim Assessment Officer-

cum-District Magistrate shall immediately approve the payment of the interim

compensation amount from the Bihar Vehicle Accident Assistance Fund. (The Claim

Assessment Officer-cum-District Magistrate shall be dealt as ‘Claim Assessment

Commissioner’ as per the Solatium scheme, defined under the rules).

(2)

After the approval made by the District Magistrate, the District Transport Officer

shall make payment of the interim compensation of Rs 5 lakh (five lakh) to the

dependent of the deceased in the event of death and Rs fifty thousand to the grievous

hurt person from the 'Bihar Vehicle Accident Assistance Fund' and approval order

for this scheme shall be communicated to the authorized Lead Insurer so that there

imbursement of the payable amount is made in the Bihar Vehicle Accident

Assistance Fund, at the level of the Lead Insurer.

(3)

Out of the amount of interim compensation paid, as per solatium scheme/updated

scheme announced by the Government of India, it shall be deposited in the bank

account of the concerned Accident Claim Assessment Officer-cum-District

Magistrate related with Bihar Vehicle Accident Assistance Fund by the authorized

Insurance Company (Lead Insurer) as per the General Insurance Council. The

balance amount of interim compensation payment shall be deemed to have been

spent from Bihar Vehicle Accident Assistance Fund.

Subsequent to Rule-226 (5) Sub Rule-6 of Rule- 226 being inserted as follows: -

Rule- 226 (6): -Rule-226(1) to Rule-226 (5) shall not be applicable for new

compensation cases arising in consequent to the Bihar Motor Vehicle (Amendment-1) Rule,

2021.

Subsequent to Rule-227 (3) Sub Rule-4 of Rule-227 being inserted as follows: -

Rule-227 (4): -Rule 227(1) to Rule-227 (3) shall not be applicable for compensation

cases arising in consequent to the Bihar Motor Vehicle (Amendment-1) Rule, 2021. These

cases can be submitted without payment of any fee.

Subsequent to Rule-230 (3), Sub Rule-4 of Rule-230 being inserted as follows: -

Rule-230 (4): -Rule-230 (1) to Rule-230 (3) shall not be applicable for

compensation cases arising in consequent to the Bihar Motor Vehicle (Amendment-1) Rule,

2021.

बहर गजट [सधरण 15 फरवर% 222

Renumbering Rule- 231 as Rule-231 (1) and subsequent to this, Sub Rule-2 being

inserted as follows: -

Rule-231 (2): - For new compensation cases arising in consequent to the Bihar

Motor Vehicle (Amendment-1) Rule, 2021, advocates can be authorized in new

compensation cases on behalf of claimants by the Transport Department/authorized officer.

Renumbering rule-232 as Rule-232(1) and subsequent to this, Sub Rule-2 and Sub

Rule-3 being inserted as follows: -

Rule-232 (2): - Rule 232 (1) shall not be applicable for compensation cases arising

in consequent to the Bihar Motor Vehicle (Amendment-1) Rule, 2021.

Rule-232 (3): -Decision shall be taken after inquiry of the authorized report of the

Accidental Claim Inquiry officer and other prescribed officers.

Renumbering Rule- 233 as Rule-233 (1) and subsequent to this, Sub Rule-2 being

inserted as follows: -

Rule-233 (2): - Rule 233 (1) shall not be applicable for compensation cases arising

in consequent to the Bihar Motor Vehicle (Amendment-1) Rule, 2021.

10.

Subsequent to Rule-240 (4), Sub Rule-5 of Rule- 240 being inserted as follows: -

Rule-240 (5): - Rule 240 (1) to 240 (4) shall not be applicable for compensation

cases arising in consequent to the Bihar Motor Vehicle (Amendment-1) Rule, 2021.

11.

Renumbering Rule- 245 as Rule- 245 (1) and subsequent to this Sub Rule-2 being

inserted as follows: -

Rule-245 (2): - Compensation cases arising out of Bihar Motor Vehicle Accidents,

filed in different Claim Tribunal, constituted prior to coming into effect of this Bihar Motor

vehicle (Amendment-1) Rule, 2021, shall keep getting disposed of in accordance with the

earlier procedures as prescribed in Chapter-X of the Bihar Motor Vehicle (Amendment)

Rules, 1992.

12.

Subsequent to Rule 246 (13), Sub Rule-14 of Rule-246 being inserted as follows: -

Rule-246 (14): - Rule 246 (1) to 246 (13) shall be irrelevant for new compensation

cases arising in consequent to the Bihar Motor Vehicle (Amendment-1) Rule, 2021.

(In the light of the omission of section-140 of Motor Vehicle Act, 1988)

13.

Renumbering Rule-247 as 247(1) and subsequent to this Sub Rule-2 and 3 being

inserted as follows: -

Rule-247 (2): - Rule 247 (1) shall not be applicable for compensation cases arising

in consequent to the Bihar Motor Vehicle (Amendment-1) Rule, 2021.

Rule-247 (3): -The decisions taken at the level of the Accident Claim Inquiry

Officer or the Claim Tribunal with regard to the decisions for the determination of

compensation claims will not have any effect in the criminal case registered due to the said

accident.

14. The following forms are inserted/ substituted for filing a fresh claim case under this rule

(i)

For interim compensation as a result of accident with insured vehicle and uninsured

vehicle, form-A prescribed under Rule 226(1) is substituted by form C-1 in case of

deceased and Form C-2 in case of injured.

(ii)

For interim compensation in hit and run cases, application Form C-3 (i) to (v) are

inserted.

(iii)

The prescribed form accident report form under Rule 215(4) with regard to inquiry

report of the Motor Vehicle Inspector related to the accidentis substituted by form C-

4, Part-I.

(iv)

Inquiry report of the concerned Officer In-charge relating to the accident (form-54 of

the Central Motor Vehicles Rules, 1989 in all cases) C-4, Part-II is inserted.

बहर गजट [सधरण 15 फरवर% 222

15.

Necessary guidelines may be issued from time to time by the Transport Department

for its implementation and needful action for amendment or enhancement may be

done by the Transport Department, as per the requirement.

By the order of Governor of Bihar,

Sanjay Kumar Agarwal,

Secretary,

बहर गजट [सधरण 15 फरवर% 222

Application form: C-1 (In case of deceased in motor vehicle accident)

Application submitted to the Sub-Divisional Officer for approvalof interim compensation (Except for

hit and run cases)

(In case of more than one deceased from the same family, separate application shall be filed)

To,

The Sub-Divisional Officer

…………………………………….

(Applicant Photo)

Part to be filed by the applicant:

1. (A) Details of the deceased:-

(i) Name of person killed in vehicle accident………………………………. Name of

Father/husband…………………………………

Gender…………

Age………………...Village/Mohalla…………………………………………Thana………

…………Block/Municipal Body………………Panchayat/Town ward no…………. District

…………………..Pin code……………………….

(ii)

Identification:

Aadhar

Number…………………………………………………Other

Identity Card………………………

(B) Details of the Claimant/Applicant:-

(i) Claimant/Applicant Number…………………..

(Give details of all in case there is more than one claimant)

(ii)

Name of Claimant/Applicant………………….…………………………

Name of Father/husband…………………………………………………

Gender…………Age……Village/Mohalla………………………………………………….

Thana…………………... Block/Nagar Nikai…………………………..

Panchayat/Town ward no………….District……………………………

Pin code……………………………..Mobile number……………………….

E-Mail……………………………………Relation

the

claimant

the

deceased………………………………………………………………

(iii) Whether the claimant is a dependent/legal heir of the deceased?...............................

2. Details of Postmortem: -

(Attach photocopy)

(a) Name of the issuing officer……………………………………….

(b) Designation………………………………………………………..

(d) Issue number of the report………………/Dated………………….

3. Details of Accident:-

(i)

Date of vehicle accident……………………Time……………………….

(ii)

Details of

the

place of

accident:

Village/Mohalla……………………Thana……………………………………. Block/Municipal

Body………………………………………………………..

Panchayat/

Town

ward

no……………………details

accident

place

(with

landmark)……………………………………….. District…………………

Pin Code…………………………………………………………………

(iii) Name

the

hospital/doctor

where

was

admitted

for

treatment……………………………………………………………………….

Photo

बहर गजट [सधरण 15 फरवर% 222

……………………………………………………………………………………………………

………………………………………………………………..

Address……………………………………………………………………………………………

……………………………………………………………….

4. Details of the vehicle involved in the accident: -

(A)

Details of the vehicle which caused the accident:-

(i)

Registration Number of vehicle……………………………………………

(ii)

Name of the vehicleowner………………………………………………...

(iii)

Name of Driver…………………………………………………………….

(iv)

Name of Insurance Company (for insured vehicle) ………………………...

(B)

Details of vehicle of the deceased: - (If the deceased person is in his own vehicle, at the time

of accident he himself was driving / was on a vehicle / was walking / driving a non-motorized

vehicle)

(i)

Registration Number of the vehicle……………………………..………………

(ii)

Name of the vehicle owner…………………………………………………

(iii)

Name of the driver………………………………………………………………

(iv)

Name of Insurance Company (for insured vehicle)……………………………

Bank account details in which interim compensation amount is to be received: -

(i)

Name of the claimant/applicant’s bank account ……………………………...

(ii)

Name of bank………………………………………………………………….

(iii)

Branch…………………………………………………………………………

(iv)

Account number……………………………………………………………….

(v)

IFSC code……………………………………………………………………..

(Encloseself-attested photocopy of first page of bank passbook or photocopy of cancelled cheque)

बहर गजट [सधरण 15 फरवर% 222

Declaration Form

(1)

I/we…………………………………………………Name of

Father/husband……………………………………………………………………...Post………

……………Thana……………………………...District………………hereby through Police

Station

…………...…District…………...under

the

Police

Station

Case

No……………………/………………... District Transport Officer in form of dependant of the

deceased……………………... (Advocate/Officer authorized by the District Transport Officer

................................) hereby authorize to file the case and represent it completely before the

Claim Tribunal.

(2)

I/we declare that all the aforesaid information given by me is correct.

(3)

The amount of compensation as determined by the Claim Tribunal shall be deposited in the

concerned bank account under the Bihar Vehicle Accident Fund and if it is more than

theamount paid to me earlier, then the difference amount shall be paid to me through the

aforesaid bank account will be done.

I herebyenclose the photocopies of the following documents: -

Photocopy of Aadhar Card/Personal Identity Card (of both the deceased and the

applicant/claimant).

Photocopy of the resident proof (Voter Card/Driving License/Passport/Electricity Bill) (of both

the deceased and the applicant/claimant).

Photocopy of the family membership certificate/dependent certificate (not required in the case

of husband/wife)

Photocopy of bank passbook (of the applicant/claimant).

Photocopy of the cancelled check (of the applicant/claimant).

Photocopy of post mortem report.

Photocopy of the FIR lodged (if available).

Any other information if available.

Signature of the applicant/claimantName:

Name of Father/Husband:

(Identity card number)

Mobile Number:

E-mail id:

(In case of more than one claimant, signature and details of everyone is required).

बहर गजट [सधरण 15 फरवर% 222

Application Form: C-2 (In case of grievously injured in motor vehicle accident)

Application to the Sub-Divisional Officer for approval of interim compensation (Except hit and

run cases)

(In case of more than one injured separate applicationsshall be filed by each injured)

To,

The Sub-Divisional Officer

…………………………………….

(Applicant Photo)

Part to be filled by the applicant:

1. (A) Details of the injured person (if adult): -

(i) Name of the person injured in vehicle accident………………………………… Name of

Father/husband………………………………………………………..

Gender…………Age………………...Village/Mohalla………………...…….Thana………

…………….Block/Municipal Body…………………………….

Panchayat/Town

ward no……………………District…………..………...

code…………………Mobile

number

………………………..

E-mail

id…………………………………….

(ii)

Identification:

Aadhar

Number……………………….Other

Identity

Card………………………

(Enclose certificate of grievous injury)

(B) Details of the applicant in case the injured is a minor:-

(In case the injured is a minor, his guardian will be the applicant)

(i) Name of the applicant……………….………………….…………………

Name

Father/husband……………………………………Gender…………

Age………………..Village/Mohala……………………………………………Thana………

……………………Block/Municipal Body……………………...

Panchayat/Town ward no………….District…………..

Pin code……………………………..Mobile number……………………….

E-Mail…………………………..

Relation of the applicantwith the injured person………………………………

(ii)

Is the applicant the guardian of the injured?.......................................................

2. Details of treatment: -

(Attach photocopy)

(a) Percentage of injury……………………………………………………….

(b) Name of the issuing Officer/Doctor/Hospital………………………………

(d) District………………………………………………………………………

(e) Issue number of the report………………(if any)/Dated…………………..

3. Details of the Accident: -

(i) Date of the vehicle accident………………………Time……………………….

(ii)

Details

the

place

accident:

Village/Mohalla……...………Thana……….

Block/Municipal

Body…………………………………..Panchayat/

Town

ward

no………………details

place

accident(with

landmark)…………………District……………………….PinCode………………………….

Photo

बहर गजट [सधरण 15 फरवर% 222

(iii) Name

the

Hospital/Doctor

where

admitted

for

treatment………………………………………………………………………..

Address………………………………………………………………………………………

…………………………………………………………………….

4. Details of the vehicle involved in the accident:

(A) Details of the vehicle causing theaccident: -

(i) Registration Number of the vehiclecausing the accident……………………

(ii) Name of the vehicle owner……………………………………………………..

(iii) Name of Driver…………………………………………………………………

(iv) Name of Insurance Company (for insured vehicle)……………………………

(B) Details of vehicle of the injured person: - (If the injured person is in his own vehicle,

whether the person was driving at the time of accident/ was on the vehicle / was walking /

driving a non-motorized vehicle)

(i) Registration Number of vehicle which caused the accident…………………….

(ii)

Name of the vehicle owner……………………………………………………..

(iii) Name of Driver…………………………………………………………………

(iv) Name of Insurance Company (for insured vehicle)…………………………….

5. Details of the bank account of the injured in which the interim compensation amount is to be

received : -

(i) Name of claimant/applicant…………………………………………………

(ii) Name of the bank……………………………………………………………

(iii) Branch………………………………………………………………………

(iv) Account Number……………………………………………………………

(v) IFSC code…………………………………………………………………..

(Enclose self-attested photocopy of first page of bank passbook or ofcancelled cheque)

बहर गजट [सधरण 15 फरवर% 222

Declaration Form

(1) I/we…………………………………………………Name

Father/husband……………………………………………………………………...

Post……………………Thana……………………………...District……………… hereby through

Police

Station

…………...…District…………...

under

the

Police

Station

Case

No……………………/………………... District Transport Officer in form of authorized guardian

……………………... (Advocate/Officer authorized by the District Transport Officer

................................) hereby authorize to file the case and represent it completely before the Claim

Tribunal.

(2) I/we declare that all the aforesaid information given by me is correct.

(3) The amount of compensation as determined by the Claim Tribunal shall be deposited in the

concerned bank account under the Bihar Vehicle Accident Fund and if it is more than the amount

paid to me earlier, then the difference amount shall be paid to me through the aforesaid bank

account will be done.

I herebyenclose the photocopies of the following documents: -

(1) Photocopy of Aadhar Card/Personal Identity Card (of both the deceased and the

applicant/claimant).

(2) Photocopy of the resident proof (Voter Card/Driving License/Passport/Electricity Bill) (of both the

deceased and the applicant/claimant).

(3) Photocopy of the family membership certificate/dependent certificate (not required in the case of

husband/wife).

(4) Photocopy of bank passbook (of the applicant/claimant).

(5) Photocopy of the cancelled check (of the applicant/claimant).

(6) Photocopy of post mortem report.

(7) Photocopy of the FIR lodged (if available).

(8) Any other information if available.

Signature of the applicant/claimant

Name:

Name of Father/Husband:

(Identity card number)

Mobile Number:

E-mail ID:

बहर गजट [सधरण 15 फरवर% 222

Application Form: C-3 (i)

Application form submitted to the Sub-Divisional Officer for approval of the interim

compensation (in case of hit and run)

I............................................................Son/Daughter/Widowof Shri...................................

Age................is

resident

Village/Mohalla..............................................

Thana…………

Block/Municipal

Body………………......................................

Panchayat

/Urban

Ward

No........................ District......................................Pin Code............................

and am applying for being grievously hurt in motor vehicle accident. The necessary details with

regard to the injury sustained by me in the accident are given below:-

I........................................................Son/Daughter/Widow of Shri......................................

Age.......................Thana……………………..Block/MunicipalBody……….……………

Panchayat/UrbanWard No.................. District........................ Pin Code………………...

grievously injured/death in a motor vehicle accident, Mr./Mrs...............................................

consequently,is applying for compensation as an authorized guardian/dependent of minor injured

who on the date………………atplace (including landmark)-............................................had been

injured/died in the motor accident and other information related to the accident is given below.

1. (i) Name of the injured/dead person………………………………

(ii) Name of the injured/father of deceased/husband of deceased (husband's name in case ofmarried

woman/widow) ……………………………………………………………

2. Address of the injured/deceased: Village/Mohalla…………………………………….

Thana....................Block/Municipal

Body.....................................

..........Panchayat/Urban

Ward

No..........................District..........................Pin Code.........................................

3. Age…………………. Date of Birth….…………………………..

4. Gender of the injured/deceased……………………………….

5. (i) Place of Accident………………….

(ii)Date of Accident………………….

(iv) Time of Accident…………………..

Occupation of the injured/dead person:

Nature of injuries:

Name and address of the police station in whose jurisdiction the accident occurred or was

registered:

Name

the

Police

Station............................................................

Address...............................................................................................District.......................................Pi

n Code.....................

(i) Name of the Medical Officer/Practitioner rendering medical service to the

injured/deceased……………………………………………………………

(ii) Address of the Medical Officer/Practitioner rendering medical service to the injured/deceased:

Village/Mohalla.....................................Thana...................Block/Municipal

Body...................Panchayat/Urban Ward No.............District................Pin Code ......................Mobile

Number....................................

10.

Name

the

authorized

guardian

the

minor

injured.......................Address:

Village/Mohalla....................Thana...............Block/Municipal Body………………..

Panchayat/Urban Ward No........District.....................Pin Code..................Mobile Number…………....

11.

Relation with the injured/deceased:

12.

Any other information which is necessary or helpful in disposalof the claim:

I solemnly undertake and affirm that the aforesaid facts are true to the best of my knowledge and

belief:

Signature of injured/ authorized guardian of the injured person

Mobile Number

E-mail ID:

बहर गजट [सधरण 15 फरवर% 222

Form: C-3 (ii)

(In case of Hit and Run)

Annexure:

Approval Order Number:

Dated:

Acknowledgment Receipt

The

death/injury

Shri/Smt.………………………………………….dated

……………….at…....………………………………………

(Name

place)in

motor

vehicleaccident, in view of the provisions under Hit and Run of the Motor Vehicle Act and after

full and final settlement of the claim as dependent/injured,receive …………………...rupees as

compensation from the……………………………... insurance company Ltd. with thanks.

Signatures of Witnesses:

Signature of dependent/injured on the revenue stamp

बहर गजट [सधरण 15 फरवर% 222

Form: C-3 (iii)

(In case of Hit and Run)

Claim Inquiry Report submitted by the Claim Inquiry Officer to the Accident Claim

Assessment Officer (in case of Hit and Run).

1. Name

the

deceased/injured

person............................................Address:

Village/Mohalla..............................................Thana.................................

Block/Municipal

Body……………………..Panchayat/Urban

Ward

No......................

District.........................................Pin Code.........................

2. (i) Place of accident………………

(ii) Date of accident………………

(iii) Time of accident………………

3. Name and address of the Police Station in whose jurisdiction the accident occurred or was

registered:

Name

the

Police

Station....................Address..................................

..........................District...........................................Pin Code.....................

4. (i)

Name of the Medical Officer/practitioner rendering medical service to the

injured/deceased:

(ii)

Address of the Medical Officer/Practitioner rendering medical services to the

injured/deceased:

Village/Mohalla......................................Thana.................................

Block/Municipal

Body..................................................................Panchayat/Urban

Ward

No..............District..................... Pin Code.................. Mobile number.........................

5. Details of Persons called and examined: Name................................................

Address:………………………………………………………………………………

Village/Mohalla................................................................Thana………………………

Block/Municipal Body............................Panchayat/Urban Ward No............................

District.........................Pin Code........................Mobile Number…………….……….

6. Whether the fact of death/injury in hit and run motor accident has been established and the reason

for arriving at the conclusion………………………………

7. Name

the

dependent

the

deceased/injured

for

payment

the

compensation......................................Address:Village/Mohalla............................

Thana..................................Block/Municipal

Body..........................Panchayat/Urban

Ward

No.......................................District.........................PinCode..............................

Mobile Number........................................

8. Recommended amount for payment to dependent / injured (in case of more than one claimant, the

amount fixed for each eligible claimant and the reasons for payment of the said amount to them)

………………………………………………

9. Any

other

information

record

relevant

useful

for

the

disposal

the

claim………………………………..

Signature and Designation of Claim Inquiry Officer

Stamp:

Dated:

बहर गजट [सधरण 15 फरवर% 222

Form: C-3 (iv)

(In case of Hit and Run)

ORDER

On dated………………Thana

Case

No…………./…………Thana.......................District................... (Name of the place with

landmark)

.......................injured

hit-and-run

motor

accident

(Name)…………………………………………………………………..Father/Husband…………

……………Village/Municipal Body………................................

Mohalla……………………………..Thana......................District....................PinCode

Deceased(Name)……………………………………..Father/Husband…………………….Village/

Municipal

Body…………………………..Mohalla…………………………Thana

………………..District…………………Pin

Code……………………

whose dependent (Name).........................address……………..............................relation

the

deceased..............................................is

hereby

authorized

for

payment

Rs……………………..as the compensation amount.

Accident Claim Assessment Officer

Copy to: -

1. Office of Insurance Company

2. Claimant

3. Motor Accident Claims Tribunal

4. Claims Inquiry Officer

बहर गजट [सधरण 15 फरवर% 222

Form: C-3 (v)

(In case of hit and run)

ORDER

I/we……………………………as a dependent of the injured/deceased, hereby undertake that in

view of the Claim Assessment Officer-cum-District Magistrate……………………approval order

no. ……………..dated……………….

the amount of compensation paid shall be refunded in the bank account………………………….

ofthe District Transport Officer…………………...if I/we…………………………..(name) get any

other compensation award in lieu ofclaim/satisfaction for compensation for death or grievous

injury,under any other provision of the Motor Vehicles Act, 1988 (as amended) or under any other

law applicable at that point of time.

Signature of the dependentof the injured/deceased

बहर गजट [सधरण 15 फरवर% 222

Form: C-4

Accident Inquiry Report related to Motor Vehicle Inspector (Except in case of Hit and Run)

(ACCIDENTAL INQUIRY REPORT)Part-I

To,

District Transport Officer……………..

Officer In-Charge…………………..District………..

Subject:

-Sending

accidentinquiry

report

concerning

Police

Station………………

District……………………….under Police Case No. …………………../……………

Sir,

The inquiry report on the above subject is as follows:-

1. Name of Police Station………………….District………………..

2. FIR number regarding accident and date………………………………….

3. Details of vehicle:

(a) Registration number…………….

(b) Engine number (motor number for e-vehicles) ……………….

(d) Name of vehicle owner …………………………………….

Father/husband name………………………………………...

(e) Address

vehicle

owner:

Village/Mohalla

..............Thana.................................

Block/MunicipalBody.........................................................Panchayat/Urban

Ward

No..............District..................... Pin Code.................. Mobile number................

4. (a)At the time of accident, the name of the driver of the vehicle....................

Father's / Husband's name...............................................

Address:………………………………….Village/Mohalla.......................................Police

Station........................................

Block/Municipal

Body...............Panchayat/Urban

Ward

No.............District ........... Pin Code.... .................................Mobile No...........................

(b) Driver's license number and period of its validity ....................../............................

………………………………………………………………………………

5. Name and address of the insurance company with which the vehicle owner had insured the

vehicle: -

(i) Name of insurance company……………………..

(ii) Address of insurance company…………………...

(Details of the Divisional Office of the Insurance Company enclosed)

6. Insurance

policy

details/insurance

number

and

insurance

validity

date…………………………………………………………………………………….

(Relevant details of insurance are expected only in case of third party. Photocopy of

insurance policy/certificate to be attached)

7. Route permit details, if permit is obtained: (copy enclosed) ………………………

8. Details of the place of accident with landmark if available:

Signature of the Motor Vehicle Inspector and date

Full Name:

बहर गजट [सधरण 15 फरवर% 222

Form: C-4

Accident inquiry report to be given by the SHO

(ACCIDENTAL INQUIRY REPORT)Part- II

To,

District Transport Officer……………………………………….

Subject:-Sending

report

concerning

Police

Station……………………...District……………………under Police

Station Case Number

………………………………./………………………….

Sir,

The inquiry report on the above subject is as follows:-

1. Name of Police Station………………………

2. FIR Number………………………………….

3. Accident-related details:

(a)

Date of accident:

(b)

Time of accident:

(c)

Place of accident:

4. (i) Details of the deceased:

(a)

Name……………………………………Male/Female……..…..Age….Father/

husband name………………………………………………………………

(b)

Address: Village/MunicipalBody................................Mohalla………Landmark

…………………………………...Panchayat/Urban Ward No…………………..

Thana…………………………….District……………………Pin Code…………

Mobile number…………………………..

(ii)

Details of the injured:

(a) Name………………….…………………Male/Female……..…..Age….Father/

husband name………………………………………………………………

(b) Address: Village / Municipal Body................................Mohalla………Landmark

…………………………………...Panchayat/Urban Ward No…………………..

Thana…………………………….District……………………Pin Code…………

Mobile number…………………………..

5. Details of theHospital/Doctor from where the deceased/injured was removed:

(a) Name of Doctor/Hospital:

(b) Date of Report:

(Enclose photocopy of Post mortem report/Medico Legal Certificate)

बहर गजट [सधरण 15 फरवर% 222

6. Details of accidented vehicles:

(a) Number of vehicles involved in accident…………………………………… (Enclose the report of

different vehicles in the format mentioned in column number 6 to 10 in case of accidents

involving more than one motor vehicle)

(b) Registration Number of Vehicle:

(i)

Private/commercial vehicle

(ii)

Car/Three-Wheeler/Bus/Truck/Tractor/other

(Enclose photocopy)

7. Details of Driver License:

(a) Name of Driver………………………………Father/husband…………….

Village/Mohalla..................................Thana.................................

Block/Municipal

Body..................Panchayat/Urban Ward No................District............................

Pin Code...............Mobile No...........................

(b) Driving license number and period of validity:

and

address

the

licensing

authority

issuing

the

driving

license………………………………………………………………………

8. Name of vehicle owner at the time of accident……………………….. Father/husband

name…………………………………………………………………Address:Village/Mohalla.........

...........Thana.................................Block/MunicipalBody.......................................................

Panchayat/Urban Ward No................District ........... Pin Code...............Mobile No...................

————

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बहर गजट [सधरण 1151+11ड(ट%प(

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