{"id":1117,"title":"SBI GENERAL LIVE STOCK POLICY CLAIM FORM","purpose":"claim","insurer":{"slug":"sbi-general-insurance","name":"SBI General Insurance Company Limited"},"source_pdf":"https://content.sbigeneral.in/uploads/c7afa8ce94694a6c9694e63cb165d26e.pdf","sha256":"d88a70d8f56dbf09de20af69a5d26036ffa1b6cbc3cf063cde9fa1be18e774ab","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured livestock owner to claim insurance for injury, sickness, or death of insured animals under the SBI General Livestock Policy.","notes":["Strike out whichever is not applicable when providing details in the veterinary certificate.","Use photographs before and after removing ear-tag as required.","Documents listed are basic and further documents may be requested on case-to-case basis.","For thumb impression, a witness signature is required."],"title":"SBI GENERAL LIVE STOCK POLICY CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Animal and Financing Details","fields":[{"help":"","type":"choice","label":"Is the Animal/s insured under SFDA/MFAL/DPAP/IRDP/GOI etc.","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide name and address if financed","type":"text","label":"Is the Animal Financed by Bank / Financial Institution, If Yes, specify, Name and Address of the Bank/ Financing Institution","options":[],"required":null,"pdf_field":""},{"help":"Describe what happened","type":"text","label":"Detail the Circumstances leading to the Injury / Sickness / Death of animal","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Policy and Insured Details","fields":[{"help":"Enter your policy number","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"If known, enter claim number","type":"text","label":"Claim No.","options":[],"required":null,"pdf_field":""},{"help":"Name of the insured","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"Full postal address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"City of residence","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"State of residence","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number","type":"phone","label":"Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Email address","type":"email","label":"Email","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Insured Animal","fields":[{"help":"Animal's ear tag number","type":"text","label":"Identification Tag No.","options":[],"required":null,"pdf_field":""},{"help":"Select male or female","type":"choice","label":"Sex M/F","options":["M","F"],"required":null,"pdf_field":""},{"help":"Breed of the animal","type":"text","label":"Breed","options":[],"required":null,"pdf_field":""},{"help":"Colour of the animal","type":"text","label":"Colour","options":[],"required":null,"pdf_field":""},{"help":"Any natural marks on the animal","type":"text","label":"Natural Marks","options":[],"required":null,"pdf_field":""},{"help":"Age in years","type":"number","label":"Age Yrs","options":[],"required":null,"pdf_field":""},{"help":"Description of left horn","type":"text","label":"Horns: L","options":[],"required":null,"pdf_field":""},{"help":"Description of tail","type":"text","label":"Tail -","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details Pertaining to the Loss","fields":[{"help":"Date animal first showed illness","type":"date","label":"When was the animal first seen ill?","options":[],"required":null,"pdf_field":""},{"help":"Date vet was informed","type":"date","label":"When was notice sent to the Veterinary Doctor?","options":[],"required":null,"pdf_field":""},{"help":"Dates of vet visits","type":"text","label":"When first and last seen by Veterinary Doctor?","options":[],"required":null,"pdf_field":""},{"help":"Dates vet attended the animal","type":"text","label":"Date/s of attendance?","options":[],"required":null,"pdf_field":""},{"help":"Vet's full contact details","type":"text","label":"Name and address & contact no of Veterinary Doctor who attended?","options":[],"required":null,"pdf_field":""},{"help":"Location, date and time of death","type":"text","label":"Place of Death with Date and Hour (Attach photographs of the carcass)","options":[],"required":null,"pdf_field":""},{"help":"Specify cause of death","type":"text","label":"Cause of Death: (specifically mention the disease)","options":[],"required":null,"pdf_field":""},{"help":"Explain disease cause","type":"text","label":"If from disease, how do you account for it?","options":[],"required":null,"pdf_field":""},{"help":"Explain accident details","type":"text","label":"If from accident, how did it occur and who was in charge of the animal?","options":[],"required":null,"pdf_field":""},{"help":"Details of operation if any","type":"text","label":"If operated, state nature of operation, date and name of Vet. Surgeon?","options":[],"required":null,"pdf_field":""},{"help":"Use of animal at death","type":"text","label":"Purpose for which the animal was used at the time of death?","options":[],"required":null,"pdf_field":""},{"help":"Date of last calving","type":"date","label":"Year of last Calving?","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Injury/Disease Details if Animal has not Died","fields":[{"help":"Describe injury or disease and date","type":"text","label":"If animal has not died, describe nature of injury/ disease and state when occurred?","options":[],"required":null,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Has this injury/disease resulted in permanent incapacity to conceive or yield milk?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration by Insured","fields":[{"help":"Date of signing","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Sign or provide thumb impression","type":"signature","label":"Signature/ Thumb impression of Insured","options":[],"required":true,"pdf_field":""},{"help":"Witness signature if thumb impression used","type":"signature","label":"Signature of Witness (in case of thumb impression only)","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Certificate by Veterinary / Panchanama of Death","fields":[{"help":"Ear-tag number and owner details","type":"text","label":"I confirm, that I was informed of the death of the Livestock identified with Ear-Tag No.","options":[],"required":null,"pdf_field":""},{"help":"Treatment details and vet name","type":"text","label":"Animal was TREATED / NOT TREATED by Me/ Dr.","options":[],"required":null,"pdf_field":""},{"help":"List treatment details with columns: Date, Medicines/Drugs, Indications, Purchase place","type":"table","label":"If Treatment was given, please provide particulars of the treatment below: Date, Medicines / Drugs Prescribed, Indications / used for, Purchased at (if not provided by GVH)","options":[],"required":null,"pdf_field":""},{"help":"State delay in days if any","type":"text","label":"I opine that there is No Delay / Delay of ___ days, in providing treatment to the animal.","options":[],"required":null,"pdf_field":""},{"help":"Select feeding status","type":"choice","label":"I opine that the animal was Not Provided / Provided sufficient feed & fodder, nutrients and minerals before and during treatment.","options":["Not Provided","Provided"],"required":null,"pdf_field":""},{"help":"Select vaccination confirmation","type":"choice","label":"I confirm / cannot confirm that the animal was given preventive vaccinations as per the prescribed schedule.","options":["Confirm","Cannot confirm"],"required":null,"pdf_field":""},{"help":"Select confirmation of treatment correctness","type":"choice","label":"I confirm / cannot confirm that the medicines, drugs and the procedures followed by the attending veterinary doctor are wholly in accordance with the treatment necessary for treating the disease / accident diagnosed.","options":["Confirm","Cannot confirm"],"required":null,"pdf_field":""},{"help":"Select cause of death","type":"choice","label":"Basing on the findings in the Post-mortem of the deceased animal and the physical and clinical record findings, I hereby confirm to the best of my professional knowledge and belief that the animal died due to Disease / Accident / Procedure.","options":["Disease","Accident","Procedure"],"required":null,"pdf_field":""},{"help":"Estimated market value at death","type":"amount","label":"Market Value of the Animal at the time of its Death can be Rs.","options":[],"required":null,"pdf_field":""},{"help":"Any other remarks","type":"text","label":"Additional Observations, if any","options":[],"required":false,"pdf_field":""},{"help":"Date of certificate","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Vet's signature","type":"signature","label":"Signature of Authorized Veterinary Officer","options":[],"required":true,"pdf_field":""},{"help":"Official seal and stamp","type":"attachment","label":"Seal and Stamp","options":[],"required":true,"pdf_field":""},{"help":"Name of veterinary officer","type":"text","label":"Name: Dr.","options":[],"required":null,"pdf_field":""}],"filled_by":"veterinary doctor"}],"deadlines":[],"applies_to":"Livestock insurance claims under SBI General Livestock Policy","attachments":["Photographs of the carcass","Post-Mortem Report issued from qualified Veterinarian","Photograph of Dead Animal before removing Ear-tag","Photograph of Dead Animal after removing Ear-Tag","Intact Ear-tag","Investigation Report, if any","Joint Discharge Voucher from Insured and Bank, as applicable","Certificate of Death from qualified Veterinarian forming part of Claim Form"],"declarations":["The insured warrants the truth of the statements and affirms proper treatment and care was given to the animal.","If any false statement or concealment is made, the policy shall be void and rights to recover claims forfeited.","Post Mortem is to be conducted and Report to be provided separately."],"dropped_labels":6},"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/1117-sbi-general-live-stock-policy-claim-form"}