{"id":1007,"title":"MONEY-IN-TRANSIT CLAIM FORM","purpose":"claim","insurer":{"slug":"oriental-insurance","name":"The Oriental Insurance Company Limited"},"source_pdf":"https://oicl-cms-media.s3.ap-south-1.amazonaws.com/Money_Insurance_Claim_Form_8a270d1fca.pdf","sha256":"f7d0043ea3af6da0e90e36d62437b47e383af540243eb2fea9c2c828cbf99653","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for claiming insurance for loss of money while it was in transit. It is filled by the claimant, who is the insured or their representative.","notes":[],"title":"MONEY-IN-TRANSIT CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Claimant Details and Loss Information","fields":[{"help":"","type":"text","label":"Name of the Insured in full","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Occupation","options":[],"required":null,"pdf_field":""},{"help":"Date when the loss was first noticed","type":"date","label":"When the loss discovered?","options":[],"required":null,"pdf_field":""},{"help":"Specify the origin and destination places","type":"text","label":"What were the places between which money was in transit?","options":[],"required":null,"pdf_field":""},{"help":"Date and location of the loss","type":"text","label":"When and where did the loss occur?","options":[],"required":null,"pdf_field":""},{"help":"Name or description of the person or entity holding the money","type":"text","label":"In whose custody was the Money at the time of loss?","options":[],"required":null,"pdf_field":""},{"help":"Describe the containers and their quantity","type":"text","label":"How was the money being carried? i.e. whether in bags, trunks etc. and in how many of them","options":[],"required":null,"pdf_field":""},{"help":"Specify the mode of transport (e.g. vehicle type)","type":"text","label":"What means of transport was being used by the persons conveying the money?","options":[],"required":null,"pdf_field":""},{"help":"Describe security arrangements","type":"text","label":"Were the persons conveying the money accompanied by an armed Guard? If not, state what protection, if any was provided","options":[],"required":null,"pdf_field":""},{"help":"Details of any fidelity guarantee insurance","type":"text","label":"Where the persons conveying the Money covered under a Fidelity Guarantee Policy or Policies? If so for what sum/s and with which office/s","options":[],"required":null,"pdf_field":""},{"help":"Detailed description of how the loss happened","type":"text","label":"Give (full particulars must be given) the circumstances of the loss or damage","options":[],"required":null,"pdf_field":""},{"help":"Total amount of money in transit","type":"amount","label":"What was the amount or the Money being carried?","options":[],"required":null,"pdf_field":""},{"help":"Amount of money lost","type":"amount","label":"What is the amount of loss?","options":[],"required":null,"pdf_field":""},{"help":"Details of police report if filed","type":"text","label":"Have you informed the police Authorities? If so, when and where?","options":[],"required":null,"pdf_field":""},{"help":"Describe recovery efforts","type":"text","label":"What steps have been taken to recover The lost money?","options":[],"required":null,"pdf_field":""},{"help":"Details of other insurance policies covering the money","type":"text","label":"Are there any other insurances Upon the same money? If so, give full particulars","options":[],"required":null,"pdf_field":""},{"help":"Previous similar losses if any","type":"text","label":"Have you ever before sustained loss Of the same nature? If so, give particulars","options":[],"required":null,"pdf_field":""},{"help":"Date of signing the form","type":"date","label":"Dated","options":[],"required":null,"pdf_field":""},{"help":"Name of witness to the signature","type":"text","label":"Witness","options":[],"required":null,"pdf_field":""},{"help":"Signature of the claimant","type":"signature","label":"Signature","options":[],"required":null,"pdf_field":""},{"help":"Name of the insurance office issuing the form","type":"text","label":"Issuing Office","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"}],"deadlines":[],"applies_to":"money-in-transit claims","attachments":[],"declarations":["The claimant warrants the truth of the statements made in the form to the best of their knowledge and belief.","If the claimant makes any false or fraudulent statement or conceals information, the claim shall be forfeited and the policy void."],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/oriental-insurance/1007-money-in-transit-claim-form"}