{"id":1024,"title":"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/Sweet_Home_INSURANCE_c39a67169e.pdf","sha256":"01a1a3d5e426b8d56b4526435ff0312a2f4de8df3524b1e2a47f7352e162b27f","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to file a claim under the Sweet Home Insurance policy for damage, theft, injury, or death related to themselves, their spouse, or household articles.","notes":["The issue of this form is not to be taken as an admission of liability.","In case the space provided is insufficient, mention details overleaf.","Furnish required documents depending upon the type of claim."],"title":"CLAIM FORM","submit":{"to":"The Divisional /Branch In-charge, The Oriental Insurance Co.Ltd.","how":"","address":"10th Floor Hansalaya, Barakhamba Road, New Delhi"},"purpose":"claim","sections":[{"title":"Claimant Details","fields":[{"help":"","type":"text","label":"Name of Insured/claimant","options":[],"required":null,"pdf_field":""},{"help":"Provide Savings Bank Account Number and Bank name","type":"text","label":"Details of Bank Account","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Residential address","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Telephone No.","options":[],"required":null,"pdf_field":""},{"help":"Mention any other insurance covering the same risk","type":"text","label":"Other co-existing identical insurance, if any, details thereof.","options":[],"required":null,"pdf_field":""},{"help":"Provide details of any previous claims","type":"text","label":"Previous claim, if any, details thereof","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder/claimant"},{"title":"Details of current claim","fields":[{"help":"Fill details for each applicable section: I-Fire (Building), II-Fire (contents), III-Burglary, IV-Breakdown of household gadgets, V-PA","type":"table","label":"Sr. No., Section, Date of occurrence of loss, Cause of Loss / Accident, Brief description of loss, Details of articles damaged/stolen, Sum insured of the article damaged/lost, Details of FIR/Fire Brigade report, Doctors report/post-mortem report","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder/claimant"},{"title":"Declaration and Signature","fields":[{"help":"","type":"signature","label":"Signature of the Insured/Claimant","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Place","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder/claimant"}],"deadlines":[],"applies_to":"claims under Sweet Home Insurance policy","attachments":["Required documents depending upon the type of claim","FIR/Fire Brigade report","Doctors report/post-mortem report"],"declarations":["The statements made are true to the best of my/our knowledge and belief.","The articles and property described belong to the persons named and no other persons have any interest therein.","If any false or fraudulent statement or concealment is made, the claim shall be forfeited and the policy shall be null and 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/1024-claim-form"}