{"id":1138,"title":"MARINE CARGO INSURANCE POLICY Claim Form","purpose":"claim","insurer":{"slug":"sbi-general-insurance","name":"SBI General Insurance Company Limited"},"source_pdf":"https://content.sbigeneral.in/uploads/42322251e8c0451fb984b4712435d1c2.pdf","sha256":"5bc2cc412376feb48b308e2113991ecfa467cc4a71be659dc8a2a2612f475215","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 Marine Cargo Insurance policy.","notes":["Issue of this Claim Form is not an admission of liability.","If any detail or information is not readily available, do not delay dispatch of this form; send such particulars later.","Failure to protect and preserve recovery rights as per contracts of affreightment may prejudice claim recovery.","Original documents should be attached as listed.","Use block letters where applicable."],"title":"MARINE CARGO 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":"Fill full 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","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 sum insured and limits as per policy","type":"amount","label":"Limits of Indemnity under the Policy (Rs.) Sum Insured Per Bottom Limit Per Location Limit","options":[],"required":null,"pdf_field":""},{"help":"Fill policy and claim details","type":"text","label":"Declaration Details Amount No. Date Policy No. Period of Insurance From To 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 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 cause of loss or damage","type":"text","label":"Describe cause of Loss/Damage","options":[],"required":null,"pdf_field":""},{"help":"Estimate the loss amount","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 the loss","type":"yes-no","label":"Is the loss / damage covered under any other Insurance?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide other insurer details 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?","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?","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 type","type":"choice","label":"If 'Yes', provide details Fire Police Municipality Other","options":["Fire","Police","Municipality","Other"],"required":false,"pdf_field":""},{"help":"Name of authority reported to","type":"text","label":"Name of Authority","options":[],"required":false,"pdf_field":""},{"help":"Report and reference numbers with date","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":"D. DETAILS OF OTHER INTEREST","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":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"E. DETAILS OF AFFECTED ITEMS","fields":[{"help":"List details of packages and their condition","type":"table","label":"Sl. No. of Packages No. of Packages Marks and Nos. BL, AWB, LR, RR, GCN No. Date Consigned Damaged/Lost/Not Delivered No. damaged packing Condition of","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"F. VOYAGE DETAILS","fields":[{"help":"Enter voyage start and end locations","type":"text","label":"Voyage From To","options":[],"required":null,"pdf_field":""},{"help":"Select mode of transit","type":"choice","label":"If Multi Modal Transit select Sea Air Road Rail Other (specify)","options":["Sea","Air","Road","Rail","Other"],"required":null,"pdf_field":""},{"help":"Provide sequence of voyage if multimodal","type":"text","label":"Voyage in sequence","options":[],"required":false,"pdf_field":""},{"help":"Name of vessel or flight or vehicle","type":"text","label":"Name of Vessel and Voyage/ Flight/Vehicle","options":[],"required":null,"pdf_field":""},{"help":"Provide port details and delay reasons","type":"text","label":"Whether Intermediate/Final Destination Port Date of Arrival Date of Clearance Reason for delay, if any","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"G. DETAILS OF OTHER INFORMATION","fields":[{"help":"Indicate if additional info is provided","type":"yes-no","label":"Do you wish to provide any other information?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide other relevant information","type":"text","label":"If 'Yes', specify","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"H. SUBROGATION DETAILS* (See Important Notice)","fields":[{"help":"Indicate if claim lodged against carriers","type":"yes-no","label":"Has Monetary claim been lodged against carriers / custodians?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Attach claim letter and proof if applicable","type":"attachment","label":"If 'Yes', attach Monetary claim letter along with acknowledgement proof","options":[],"required":false,"pdf_field":""},{"help":"Explain why no claim lodged if applicable","type":"text","label":"If 'No', specify reason","options":[],"required":false,"pdf_field":""},{"help":"Provide details of survey or inspection","type":"text","label":"State whether steamer survey / joint inspection held or open delivery taken?","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"I. CUSTOM DUTY DETAILS","fields":[{"help":"Date customs examined cargo","type":"date","label":"Date of customs’ examination","options":[],"required":false,"pdf_field":""},{"help":"Date customs cleared cargo","type":"date","label":"Date of customs’ clearance","options":[],"required":false,"pdf_field":""},{"help":"Enter duties paid","type":"amount","label":"Amount of Duties Paid in Rs.","options":[],"required":false,"pdf_field":""},{"help":"Provide duty rates","type":"text","label":"Rate of basic duty and CVD","options":[],"required":false,"pdf_field":""},{"help":"Provide bond details if bonded cargo","type":"text","label":"If Bonded Cargo, Bond Date of Bonding","options":[],"required":false,"pdf_field":""},{"help":"Indicate if damages noticed before clearance","type":"yes-no","label":"Have damages been noticed before clearance for home consumption?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if remission claim made with customs","type":"yes-no","label":"Has any claim been made for remission / abatement with customs’?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide remission claim details","type":"text","label":"If 'Yes', provide details","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"J. LIST OF SUGGESTED DOCUMENTS","fields":[{"help":"Specify any other documents attached","type":"text","label":"Specify","options":[],"required":false,"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":true,"pdf_field":""},{"help":"Print your name","type":"text","label":"Name of Insured/Claimant","options":[],"required":true,"pdf_field":""}],"filled_by":"insured/claimant"}],"deadlines":["First Notification: 3 days from discharge (Ocean Carrier), 7 days from discharge (Air Carrier), 14 days for non-delivery from AWB date, 7 days from delivery (Railways, Inland Road Carrier, Port/CD/CFS Authorities, Postal), 1 month from booking (Railways), 3 months for non-delivery from booking (Railways)","Monetary Claim: Immediately on quantification but not later than 1 year from B/L date (Ocean Carrier), 2 years from AWB date (Air Carrier), 3 years from RR date (Railways), 3 years from LR date (Railways), 6 months from discharge (Inland Road Carrier), 3 years from booking (Postal)"],"applies_to":"Marine Cargo Insurance claims","attachments":["Original Insurance Policy / Certificate of Insurance duly endorsed","Original Invoice along with supplementary, if any","Original packing list","Original B/L / AWB / RR / LR / GCN / Any other contract of affreightment","Duty Paid copy of Bill of Entry with TR-6","Landing remark certificate / Steamer Survey report / Equipment Interchange Receipt","Joint Inspection report","Open delivery certificate in original","Damage Certificate / Short Landing Certificate / Non-delivery Certificate in original","Copies of correspondence exchanged with carriers / port authorities along with response","Survey report","Any other documents to substantiate the loss which you may want to attach"],"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.","All rights to recover under the policy for past or future loss shall be forfeited in case of fraud."],"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/1138-marine-cargo-insurance-policy-claim-form"}