{"id":1107,"title":"Flexi Home Insurance Claim Form","purpose":"claim","insurer":{"slug":"sbi-general-insurance","name":"SBI General Insurance Company Limited"},"source_pdf":"https://content.sbigeneral.in/uploads/0d3f718aac424cb8bc287dab51c6865d.pdf","sha256":"cb9fc7281b0b1e1b3d2e02ec6ecbc08c43ba73ad126094e2dccc8fae9f36b6ab","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by the policyholder or claimant to report and claim losses or damages under the Flexi Home Insurance policy.","notes":["Issuing this claim form is not an admission of liability.","If any detail is not readily available, do not delay dispatching the form; such particulars may be sent later."],"title":"Flexi Home Insurance Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"A. DETAILS OF INSURED/CLAIMANT","fields":[{"help":"","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Enter the start date of the insurance period","type":"date","label":"Period of Insurance From","options":[],"required":null,"pdf_field":""},{"help":"Enter the end date of the insurance period","type":"date","label":"To","options":[],"required":null,"pdf_field":""},{"help":"Enter full name as per the insurance policy","type":"text","label":"1. Name as per Policy","options":[],"required":null,"pdf_field":""},{"help":"If available, enter the claim number","type":"text","label":"Claim No.","options":[],"required":false,"pdf_field":""},{"help":"Enter full address including Plot No/Door No, Building Name, Road, Area, City, Pincode, State","type":"text","label":"2. Address","options":[],"required":null,"pdf_field":""},{"help":"Provide phone number, mobile number, and email ID","type":"text","label":"3. Contact Details","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder or claimant"},{"title":"B. DETAILS OF LOSS/ACCIDENT","fields":[{"help":"Enter the date when the loss occurred","type":"date","label":"1. Date of Loss","options":[],"required":true,"pdf_field":""},{"help":"Enter the time of loss and specify a.m. or p.m.","type":"text","label":"Time of Loss a.m./p.m.","options":[],"required":null,"pdf_field":""},{"help":"Enter full address where the loss occurred including Plot No/Door No, Building Name, Road, Area, City, Pincode, State","type":"text","label":"2. Loss Location Address","options":[],"required":null,"pdf_field":""},{"help":"Provide name, relationship with insured, phone number, mobile number, and email ID","type":"text","label":"3. Contact Details of person/s at Loss Location","options":[],"required":null,"pdf_field":""},{"help":"Briefly describe how the loss or damage occurred","type":"text","label":"4. Describe Cause of Loss/Damage","options":[],"required":true,"pdf_field":""},{"help":"Provide estimated loss amounts for each category: a) Building, b) Content, c) FFF, d) Loss of rent, e) Others 1, f) Others 2","type":"amount","label":"5. Estimated Loss (Rs.)","options":[],"required":null,"pdf_field":""},{"help":"Tick all applicable sections under which the claim is made","type":"checkbox","label":"Please tick the box for claiming the loss / damaged under section","options":["I. Damaged to property due to fire peril i.e. (Fire, STFI, RSMD, Earthquake and lighting)","II. terrorism","III. Employees Compensation Insurance","IV. Public Liability","V. Burglary / Theft of contents & personal belongings (on FLB)","VI. Contents (excluding Jewellery)","VII. Valuable Contents","VIII. Personal Accident Cover","IX. Accidental Damage Cover – General Contents","X. Temporary Resettlement Expenses","XI. EMI Protection","XII. Electrical Clause / Electrical Installation Clause","XIII. Tenant Liability Cover","XIV. Pet Insurance","XV. Loss of Key","XVI. Loss of Rent & Rent for Alternative Accommodation","XVII. Loss of Cash while transit","XVIII. Fine Art"],"required":null,"pdf_field":""},{"help":"Indicate if there were any witnesses","type":"yes-no","label":"WITNESS DETAILS - 1. Were there any witnesses to the loss/accident?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide names of witnesses if any","type":"text","label":"If 'Yes', 2. Name as Person/s","options":[],"required":false,"pdf_field":""},{"help":"Provide full address of witnesses","type":"text","label":"3. Address","options":[],"required":false,"pdf_field":""},{"help":"Provide phone, mobile, and email of witnesses","type":"text","label":"4. Contact Details","options":[],"required":false,"pdf_field":""},{"help":"Indicate if the loss was reported to any authority","type":"yes-no","label":"INFORMATION TO AUTHORITY - 1. Has the loss been reported to an Authority?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain why the loss was not reported if applicable","type":"text","label":"If 'No', reason for not reporting","options":[],"required":false,"pdf_field":""},{"help":"Tick the authority to which the loss was reported","type":"checkbox","label":"If 'Yes', provide details","options":["Fire","Police","Municipality","Other"],"required":false,"pdf_field":""},{"help":"Provide name of the authority reported to","type":"text","label":"2. Name of Authority","options":[],"required":false,"pdf_field":""},{"help":"Provide report number, date, or reference number from the authority","type":"text","label":"3. Information Report No./Date Authority Reference No.","options":[],"required":false,"pdf_field":""},{"help":"Provide contact person details at the authority","type":"text","label":"4. Contact Person/s","options":[],"required":false,"pdf_field":""},{"help":"Indicate if another insurance covers the loss","type":"yes-no","label":"1. Is the loss/damage covered under any other Insurance?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide other policy number, coverage details, sum insured, and period of insurance","type":"text","label":"If 'Yes', specify details and attach a copy of the policy","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder or claimant"},{"title":"C. DETAILS OF OTHER INSURANCE","fields":[{"help":"Provide Date of Loss, Claim Description and Cause of Loss, Value of Loss (Rs.), Insurer","type":"table","label":"Losses during the 3 preceding years","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder or claimant"},{"title":"E. DETAILS OF OTHER INFORMATION","fields":[{"help":"Indicate if you want to provide additional information","type":"yes-no","label":"Do you wish to provide any other information?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide any other relevant information","type":"text","label":"If 'Yes', specify","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder or claimant"},{"title":"Declaration and Signature","fields":[{"help":"Enter place of signing","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Sign the form","type":"signature","label":"Signature of Insured/Claimant","options":[],"required":true,"pdf_field":""},{"help":"Enter date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Print full name","type":"text","label":"Name of Insured/Claimant","options":[],"required":true,"pdf_field":""}],"filled_by":"insured/claimant"}],"deadlines":[],"applies_to":"Flexi Home Insurance claims for various types of losses including fire, theft, burglary, personal accident, tenant liability, and others as listed.","attachments":["copy of the other insurance policy if loss/damage is covered under any other insurance"],"declarations":["The claimant warrants the truth of all statements made in this form to the best of their knowledge and belief.","If any false or fraudulent statement or concealment is made, the claim shall be forfeited and the policy null and void."],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"customer.care@sbigeneral.in","label":"Motor Claims Email","level":null,"hours":null,"applies_to":"motor","source_url":"https://www.sbigeneral.in/claim/motor","quote":"m\nRegister or Track Claim Status with one simple click\nIntimate Claim\nCheck Claim Status\n1800 102 1111\n(Available 24/7)\ncustomer.care@sbigeneral.in\nMail ID\nSmooth rides, smoother claims\nBecause you deserve worry-free journeys, always\nDownload SBIG App\nRegister or Tra","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"sbig.health@sbigeneral.in","label":"Health Claims Email","level":null,"hours":null,"applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"ailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in\n18,000+\nNetwork Hospitals\nHealth Vertical Office:\nSBI General Insurance Company Limited,\n9th Floor, Westport, Pan Card","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"seniorcitizen.health@sbigeneral.in","label":"Senior Citizen Health Claims Email","level":null,"hours":null,"applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"Feel Free to Reach Out\nCall Us:\nAvailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in\n18,000+\nNetwork Hospitals\nHealth Vertical Office:\nSBI General Insurance Company Limited,\n9th","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 102 1111","label":"Motor Claims Toll-free Number","level":null,"hours":"Available 24/7","applies_to":"motor","source_url":"https://www.sbigeneral.in/claim/motor","quote":"e Claim\nFAQs\nDownload Claim Form\nRegister or Track Claim Status with one simple click\nIntimate Claim\nCheck Claim Status\n1800 102 1111\n(Available 24/7)\ncustomer.care@sbigeneral.in\nMail ID\nSmooth rides, smoother claims\nBecause you deserve worry-free journ","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 210 3366","label":"Health Claims Toll-free Number","level":null,"hours":"Available 24/7","applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"e simple click\nCheck Claim Status\nIntimate Claim\nFor any Queries, Please Feel Free to Reach Out\nCall Us:\nAvailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 210 6366","label":"Health Claims Toll-free Number","level":null,"hours":"Available 24/7","applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"heck Claim Status\nIntimate Claim\nFor any Queries, Please Feel Free to Reach Out\nCall Us:\nAvailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in\n18,000+\nNetwork","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"sms","value":"561612","label":"Health Claims SMS 'HEALTHCLAIM'","level":null,"hours":null,"applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"y Queries, Please Feel Free to Reach Out\nCall Us:\nAvailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in\n18,000+\nNetwork Hospitals\nHealth Vertical Office","fetched_at":"2026-10-20"}],"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/sbi-general-insurance/1107-flexi-home-insurance-claim-form"}