{"id":1123,"title":"LATENT DEFECTS INSURANCE- CLAIM FORM","purpose":"claim","insurer":{"slug":"sbi-general-insurance","name":"SBI General Insurance Company Limited"},"source_pdf":"https://content.sbigeneral.in/uploads/a8b162b7020444ca9b127bc7a9edb3e0.pdf","sha256":"5ac11c276aabddb69d4c32b0ac0a83df4900ac2b827e7c043face0942bb963db","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 under a latent defects insurance policy.","notes":["If any detail or information is not readily available, do not delay dispatch of this form; other particulars may be sent later.","Attach estimates of repairs or replacements when claiming for damaged items.","Attach a copy of other insurance policy if the loss is covered under any other insurance."],"title":"LATENT DEFECTS INSURANCE- CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Details of Insured/Claimant","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"Start and end date of the insurance period","type":"date","label":"Period of Insurance","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim Number","options":[],"required":null,"pdf_field":""},{"help":"Name exactly as on the insurance policy","type":"text","label":"Name as per  policy","options":[],"required":null,"pdf_field":""},{"help":"Full postal address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","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 Number","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Email address","type":"email","label":"Email 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":"Maximum indemnity limit under the policy in rupees","type":"amount","label":"Limits of Indemnity under the Policy (Rs.)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Details of Loss/Damage","fields":[{"help":"Date when the loss occurred","type":"date","label":"Date of Loss","options":[],"required":null,"pdf_field":""},{"help":"Time of loss with AM or PM","type":"text","label":"Time of Loss","options":["A.M.","P.M."],"required":null,"pdf_field":""},{"help":"Full address where the loss occurred","type":"text","label":"Loss Location Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal code of loss location","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Name of contact person at loss location","type":"text","label":"Contact Details of person/s at Loss Location - Name","options":[],"required":null,"pdf_field":""},{"help":"Relationship of contact person to insured","type":"text","label":"Relationship with the Insured","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number of contact person","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"Mobile number of contact person","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Email of contact person","type":"email","label":"Email 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 the loss","type":"amount","label":"Estimated Loss (Rs.)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Witness Details and Information to Authority","fields":[{"help":"Indicate if there were witnesses","type":"yes-no","label":"Were there any witnesses to the Loss / damage?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate if loss was reported to any authority","type":"yes-no","label":"Has the Loss been reported to an Authority","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain why loss was not reported if applicable","type":"text","label":"If ‘No’, reason for not reporting","options":[],"required":null,"pdf_field":""},{"help":"Select the 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 the authority where loss was reported","type":"text","label":"Name of Authority","options":[],"required":null,"pdf_field":""},{"help":"Reference number and date of report to authority","type":"text","label":"Information Report No./Authority Reference No. and Date","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Details of Other Insurance","fields":[{"help":"Indicate if other insurance covers the loss","type":"yes-no","label":"Is the Loss/damage covered under any other Insurance","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Name of other insurance company","type":"text","label":"Name of Insurer","options":[],"required":null,"pdf_field":""},{"help":"Address of other insurer","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal code of other insurer","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Phone number of other insurer","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"Mobile number of other insurer","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Email of other insurer","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""},{"help":"Policy number of other insurance","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Start and end date of other insurance","type":"date","label":"Period of Insurance","options":[],"required":null,"pdf_field":""},{"help":"Sum insured under other policy","type":"amount","label":"Sum Insured (Rs.)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Details of Other Interest","fields":[{"help":"Indicate if insured solely owns the property","type":"yes-no","label":"Is the Insured the sole owner of the Insured Property?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe nature of other interests if not sole owner","type":"text","label":"If ‘No’, specify Nature of Interest","options":[],"required":null,"pdf_field":""},{"help":"Names of other interested persons","type":"text","label":"Person/s who has/have interest on Insured Property","options":[],"required":null,"pdf_field":""},{"help":"Address of other interested persons","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal code of other interested persons","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Phone number of other interested persons","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"Mobile number of other interested persons","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Email of other interested persons","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Details of Damaged Property","fields":[{"help":"Describe the contract and nature of the work","type":"text","label":"Description and Nature of Contract for existing work","options":[],"required":null,"pdf_field":""},{"help":"Duration in months/years and completion date","type":"text","label":"Duration of Contract and date of completion","options":[],"required":null,"pdf_field":""},{"help":"Yes or No; attach estimate of repairs or replacements","type":"text","label":"Will the damaged items be repaired","options":[],"required":null,"pdf_field":""},{"help":"Name of firm repairing damaged items","type":"text","label":"If by Vendor/Other, Name of the firm","options":[],"required":null,"pdf_field":""},{"help":"Address of vendor or firm","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal code of vendor","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Phone number of vendor","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"Mobile number of vendor","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Email of vendor","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""},{"help":"Indicate if design or material changes will be made during repairs","type":"yes-no","label":"Will any alterations / improvements be made to design / construction or material when repairs are carried out","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain the alterations or improvements planned","type":"text","label":"If “Yes”, please explain in detail","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Details of Previous Losses","fields":[{"help":"List previous losses with date, description, value, and insurer","type":"table","label":"Losses during the 3 preceding years (Date of Loss, Claim Description and Cause of Loss, Value of Loss (Rs.), Insurer)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"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":null,"pdf_field":""},{"help":"Provide any other relevant information","type":"text","label":"If ‘Yes’, specify","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Declaration and Signature","fields":[{"help":"Place where form is signed","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Signature of insured/claimant","type":"signature","label":"Signature","options":[],"required":null,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Name of person signing","type":"text","label":"Name of Insured/Claimant","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"}],"deadlines":[],"applies_to":"Latent Defects Insurance Policy claims","attachments":["Estimate of repairs / replacements","Copy of other insurance policy if loss is covered elsewhere"],"declarations":["The insured warrants the correctness, completeness and truth of the statements made in this form.","If any false or fraudulent statement or concealment is made, the claim shall be forfeited and the policy null and void."],"dropped_labels":16},"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/1123-latent-defects-insurance-claim-form"}