{"id":1125,"title":"MACHINERY/ELECTRONIC EQUIPMENT INSURANCE POLICY Claim Form","purpose":"claim","insurer":{"slug":"sbi-general-insurance","name":"SBI General Insurance Company Limited"},"source_pdf":"https://content.sbigeneral.in/uploads/69f30fb2903c42b0aa64a26a1f888f46.pdf","sha256":"a440dee7484e5e6990d79e8edac9f19f23670464564ec1b767ef665c0416c40d","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 the electronic equipment insurance policy.","notes":["If any detail is not readily available, do not delay dispatching the form; such particulars may be sent later."],"title":"MACHINERY/ELECTRONIC EQUIPMENT 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 numbers and email","type":"text","label":"Contact Details Phone No. Mobile E-mail Id","options":[],"required":null,"pdf_field":""},{"help":"Describe your business or occupation","type":"text","label":"Brief Description of Business/ Office/Industry/Occupation","options":[],"required":null,"pdf_field":""},{"help":"Provide policy details and indemnity limits","type":"text","label":"Limits of Indemnity under the Policy (Rs.) Policy No. Period of Insurance From To Claim No.","options":[],"required":null,"pdf_field":""},{"help":"Date when the 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 persons 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 another 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":false,"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":false,"pdf_field":""},{"help":"Contact details of witnesses","type":"text","label":"Contact Details Phone No. Mobile E-mail Id","options":[],"required":false,"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 not reported if applicable","type":"text","label":"If 'No', reason for not reporting","options":[],"required":false,"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":false,"pdf_field":""},{"help":"Name of reporting authority","type":"text","label":"Name of Authority","options":[],"required":false,"pdf_field":""},{"help":"Report number and date from authority","type":"text","label":"Information Report No./ Date Authority Reference No.","options":[],"required":false,"pdf_field":""},{"help":"Contact person at authority","type":"text","label":"Contact Person/s","options":[],"required":false,"pdf_field":""},{"help":"Address of authority","type":"text","label":"Address Plot No/Door No. Building Name Road Area City Pincode State","options":[],"required":false,"pdf_field":""},{"help":"Contact details of authority","type":"text","label":"Contact Details Phone No. Mobile E-mail Id","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"C. DETAILS OF OTHER INSURANCE","fields":[{"help":"Indicate ownership status","type":"yes-no","label":"Is the Insured the Sole Owner of the property? Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Details of other interested parties if not sole owner","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":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"D. DETAILS OF OTHER INTEREST","fields":[{"help":"Indicate if equipment was repaired before","type":"yes-no","label":"Has the affected equipment undergone any repairs previously? Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe previous repairs","type":"text","label":"If 'Yes', the nature of such repairs","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"F. DETAILS OF REPAIR/REPAIRER","fields":[{"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 details and attach estimates 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":false,"pdf_field":""},{"help":"Provide repairer details if repair is outsourced","type":"text","label":"If 'No', specify following details Name of the Repairer Name of the 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":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"G. DETAILS OF PREVIOUS LOSSES","fields":[{"help":"List previous losses in last 3 years","type":"table","label":"Date of Loss Claim Description and Cause of Loss Value of Loss (Rs.) Insurer","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"H. 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":false,"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":"Machinery/Electronic Equipment Insurance Policy claims","attachments":["Copy of other insurance policy if loss is covered under another insurance","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 will be 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/1125-machinery-electronic-equipment-insurance-policy-claim-form"}