{"id":1122,"title":"BOILER AND PRESSURE VESSEL INSURANCE POLICY Claim Form","purpose":"claim","insurer":{"slug":"sbi-general-insurance","name":"SBI General Insurance Company Limited"},"source_pdf":"https://content.sbigeneral.in/uploads/63ada750b3be42f3a37b7fe392cebfe7.pdf","sha256":"faae7b9914cd58ab0e3ffa2224f9c3b076a947eb36814991d4aeb8736ff1a208","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured or claimant to report and claim for loss or damage to boiler and pressure vessel insured under the policy.","notes":["If any detail or information is not readily available, do not delay dispatch of this form; such particulars may be sent later."],"title":"BOILER AND PRESSURE VESSEL INSURANCE POLICY Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"A. DETAILS OF INSURED/CLAIMANT","fields":[{"help":"","type":"text","label":"Name as per Policy","options":[],"required":null,"pdf_field":""},{"help":"Full postal address as per policy","type":"text","label":"Address Plot No/Door No. Building Name Road Area City Pincode State","options":[],"required":null,"pdf_field":""},{"help":"Provide phone, mobile and email contact","type":"text","label":"Contact Details Phone No. Mobile E-mail Id","options":[],"required":null,"pdf_field":""},{"help":"Describe your business or occupation briefly","type":"text","label":"Brief Description of Business/ Office/Industry/Occupation","options":[],"required":null,"pdf_field":""},{"help":"Enter the indemnity limit as per policy","type":"amount","label":"Limits of Indemnity under the Policy (Rs.)","options":[],"required":null,"pdf_field":""},{"help":"Enter your policy number","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Enter policy start and end dates","type":"date","label":"Period of Insurance From To","options":[],"required":null,"pdf_field":""},{"help":"If known, enter claim number","type":"text","label":"Claim No.","options":[],"required":null,"pdf_field":""},{"help":"Date when loss occurred","type":"date","label":"Date of Loss","options":[],"required":null,"pdf_field":""},{"help":"Time of loss (A.M. / P.M.)","type":"text","label":"Time of Loss","options":[],"required":null,"pdf_field":""},{"help":"Contact details of person at loss location","type":"text","label":"Contact Details of person/s at Loss Location Name Relationship with Insured Contact Details Phone No. Mobile E-mail Id","options":[],"required":null,"pdf_field":""},{"help":"Explain how the loss or damage happened","type":"text","label":"Describe cause of Loss/Damage","options":[],"required":null,"pdf_field":""},{"help":"Estimated monetary value of loss","type":"amount","label":"Estimated Loss (Rs.)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"B. DETAILS OF LOSS/ACCIDENT","fields":[{"help":"Indicate if other insurance covers this loss","type":"yes-no","label":"Is the loss / damage covered under any other Insurance? Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details of other insurance if applicable","type":"text","label":"If 'Yes', specify details and attach a copy of the policy Name of Insurer Address Contact Details Policy Number Sum Insured Period of Insurance From To","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"WITNESS DETAILS","fields":[{"help":"Indicate if witnesses were present","type":"yes-no","label":"Were there any witnesses to the loss/accident? Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Address of witnesses","type":"text","label":"Address Plot No/Door No. Building Name Road Area City Pincode State","options":[],"required":null,"pdf_field":""},{"help":"Contact details of witnesses","type":"text","label":"Contact Details Phone No. Mobile E-mail Id","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"INFORMATION TO AUTHORITY","fields":[{"help":"Indicate if loss was reported to any authority","type":"yes-no","label":"Has the loss been reported to an Authority? Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain why loss was not reported","type":"text","label":"If 'No', reason for not reporting","options":[],"required":null,"pdf_field":""},{"help":"Select authority to which loss was reported","type":"choice","label":"If 'Yes', provide details Fire Police Municipality Other","options":["Fire","Police","Municipality","Other"],"required":null,"pdf_field":""},{"help":"Name of reporting authority","type":"text","label":"Name of Authority","options":[],"required":null,"pdf_field":""},{"help":"Report number and date from authority","type":"text","label":"Information Report No./ Date Authority Reference No.","options":[],"required":null,"pdf_field":""},{"help":"Contact person at authority","type":"text","label":"Contact Person/s","options":[],"required":null,"pdf_field":""},{"help":"Address of authority","type":"text","label":"Address Plot No/Door No. Building Name Road Area City Pincode State","options":[],"required":null,"pdf_field":""},{"help":"Contact details of authority","type":"text","label":"Contact Details Phone No. Mobile E-mail Id","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"C. DETAILS OF OTHER INSURANCE","fields":[{"help":"Indicate ownership status of property","type":"yes-no","label":"Is the Insured the Sole Owner of the property? Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details of other interested parties","type":"text","label":"If 'No', specify Nature of Interest Person/s who has/have interest on property Address Contact Details Plot No/Door No. Building Name Road Area City Pincode State Phone No. Mobile E-mail Id","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"D. DETAILS OF DAMAGED BOILER / PRESSURE VESSEL","fields":[{"help":"Describe the boiler or pressure vessel and its capacity","type":"text","label":"Description and Capacity of Boiler/Pressure Vessel","options":[],"required":null,"pdf_field":""},{"help":"Manufacturer's name","type":"text","label":"Name of Manufacturer","options":[],"required":null,"pdf_field":""},{"help":"Year of manufacture and warranty expiry date","type":"date","label":"Year of Manufacturer Date of expiry of Manufacturer's guarantee/warranty","options":[],"required":null,"pdf_field":""},{"help":"Replacement cost in rupees","type":"amount","label":"Cost of replacement of Boiler/Pressure Vessel of same capacity and type Rs.","options":[],"required":null,"pdf_field":""},{"help":"Indicate if AMC was in place","type":"yes-no","label":"Whether the Boiler/Pressure Vessel was under Annual Maintenance Contract? Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide AMC company details and attach contract copy","type":"text","label":"If 'Yes', specify details (attach contract copy) Name of Company Address Contact Details","options":[],"required":null,"pdf_field":""},{"help":"Indicate if previous repairs were done","type":"yes-no","label":"Have there been repairs for any previous damages to the Boiler/Pressure Vessel? Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Details of previous repairs","type":"text","label":"If 'Yes', specify Nature of Repair/s Date of Repair Amount of Repair (Rs.)","options":[],"required":null,"pdf_field":""},{"help":"Indicate if repair is in-house","type":"yes-no","label":"Is the repair being carried out in house? Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide estimates and invoices if repair is in-house","type":"text","label":"If 'Yes', specify and submit Job-Work estimates along with Pro-forma Invoices of Spare Parts to be replaced","options":[],"required":null,"pdf_field":""},{"help":"Provide details of external repairer","type":"text","label":"If 'No', specify following details Name of the Repairer Name of contact person/s Address Contact Details Plot No/Door No. Building Name Road Area City Pincode State Phone No. Mobile E-mail Id","options":[],"required":null,"pdf_field":""},{"help":"Indicate if any improvements will be made during repair","type":"yes-no","label":"Will there be any improvement in design/capacity/type/performance to the Boiler/Pressure Vessel during repairs? Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe the improvements planned","type":"text","label":"If 'Yes', specify details","options":[],"required":null,"pdf_field":""},{"help":"Indicate if other property was damaged","type":"yes-no","label":"Is there any damage to other property/surrounding property? Yes No","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"G. DETAILS OF OTHER INFORMATION","fields":[{"help":"Indicate if you want to add more information","type":"yes-no","label":"Do you wish to provide any other information? Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide additional information","type":"text","label":"If 'Yes', specify","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"DECLARATION","fields":[{"help":"Place where form is signed","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Print your name","type":"text","label":"Name of Insured/Claimant","options":[],"required":true,"pdf_field":""}],"filled_by":"insured/claimant"}],"deadlines":[],"applies_to":"Boiler and Pressure Vessel Insurance claims","attachments":["Copy of other insurance policy if loss is covered under other insurance","Copy of Annual Maintenance Contract if Boiler/Pressure Vessel was under AMC","Job-Work estimates and Pro-forma Invoices of Spare Parts if repair is in-house"],"declarations":["The insured 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 will be forfeited and the policy null and void."],"dropped_labels":4},"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/1122-boiler-and-pressure-vessel-insurance-policy-claim-form"}