{"id":1127,"title":"ENGINEERING (EAR/CAR/CPM) INSURANCE POLICY Claim Form","purpose":"claim","insurer":{"slug":"sbi-general-insurance","name":"SBI General Insurance Company Limited"},"source_pdf":"https://content.sbigeneral.in/uploads/85b8e007f09b4e6ea18fa7c50b9afc3d.pdf","sha256":"2d59374e458f5835903019726e3d82b4fa2f77a092bc5cf0cc0b81a07e05fae2","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured or claimant to report and claim losses under the Contractors All Risk insurance 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":"ENGINEERING (EAR/CAR/CPM) 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 of the insured","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 the nature of business or occupation","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":"Policy number","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Policy coverage period","type":"date","label":"Period of Insurance From To","options":[],"required":null,"pdf_field":""},{"help":"Claim number if already assigned","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 persons at loss site","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/damage happened","type":"text","label":"Describe cause of Loss/Damage","options":[],"required":null,"pdf_field":""},{"help":"Estimate loss amounts for each category","type":"amount","label":"Estimated Loss (Rs.) (a) Construction Plant and Equipment, belonging to Contactor/Insured (b) Contract Works, belonging to Contactor/Insured (c) Third Party Property","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?","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?","options":["Yes","No"],"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?","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 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 or reference number and date","type":"text","label":"Information Report No./ Date Authority Reference No.","options":[],"required":null,"pdf_field":""},{"help":"Name of 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","type":"yes-no","label":"Is the Insured the Sole Owner of the property?","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 OTHER INTEREST","fields":[{"help":"Describe contract details","type":"text","label":"Description and Nature of Contract for existing work","options":[],"required":null,"pdf_field":""},{"help":"Contract duration and expected completion date","type":"text","label":"Duration of Contract months / years Estimated date of completion","options":[],"required":null,"pdf_field":""},{"help":"Describe construction progress","type":"text","label":"At what stage was the construction at the time of occurrence","options":[],"required":null,"pdf_field":""},{"help":"Select repair method and attach estimate","type":"choice","label":"Will the damaged items be repaired? Departmentally Vendor Other","options":["Departmentally","Vendor","Other"],"required":null,"pdf_field":""},{"help":"Provide vendor details if applicable","type":"text","label":"If by Vendor/Other Name of the firm Address Contact Details","options":[],"required":null,"pdf_field":""},{"help":"Indicate if other properties were damaged","type":"yes-no","label":"Are existing buildings/properties damaged at the time of occurrence?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide damage details and contact info","type":"text","label":"If 'Yes', give details along with estimated value of damages 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 changes will be made during repair","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":""}],"filled_by":"insured/claimant"},{"title":"G. DETAILS OF OTHER INFORMATION","fields":[{"help":"Indicate if additional information is provided","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","fields":[{"help":"Place of signing","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Print name of signer","type":"text","label":"Name of Insured/Claimant","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"}],"deadlines":[],"applies_to":"Contractors All Risk Insurance claims","attachments":["Copy of other insurance policy if loss is covered elsewhere","Estimate of repairs / replacements if damaged items will be repaired by Vendor/Other"],"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 shall 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/1127-engineering-ear-car-cpm-insurance-policy-claim-form"}