{"id":1168,"title":"Shri Bharat Sookshma Udyam Suraksha Policy UIN – IRDAN137RP0029V01202021 Claim Form","purpose":"claim","insurer":{"slug":"shriram-general-insurance","name":"Shriram General Insurance Company Limited"},"source_pdf":"https://cdn.shriramgi.com/webassets/download/claim/Claim_Form_Bharat_Sookshma_Udyam_Suraksha.pdf","sha256":"ab1cacd468f9990ae59210723507fc3e86c76605fcc24e01b5f853b7f15b6a51","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for insured persons to file a claim under the Shri Bharat Sookshma Udyam Suraksha insurance policy.","notes":["The issue of this form is not to be taken as an admission of liability.","Ensure all columns of the claim form are filled and no column remains unanswered.","Attach a separate sheet if the space provided is insufficient."],"title":"Shri Bharat Sookshma Udyam Suraksha Policy UIN – IRDAN137RP0029V01202021 Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Claim Details","fields":[{"help":"","type":"text","label":"Policy Number / Cover Note Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim No","options":[],"required":null,"pdf_field":""},{"help":"Enter the start date of the insurance period","type":"date","label":"Period of Insurance: From","options":[],"required":null,"pdf_field":""},{"help":"Full name of the insured person or entity","type":"text","label":"Name of the Insured","options":[],"required":null,"pdf_field":""},{"help":"Complete postal address of the insured","type":"text","label":"Insured Address","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number of the insured","type":"phone","label":"Mobile No","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number if available","type":"phone","label":"Landline No","options":[],"required":false,"pdf_field":""},{"help":"Email address of the insured","type":"email","label":"Email","options":[],"required":false,"pdf_field":""},{"help":"Date and time when the loss occurred","type":"date","label":"Date and Time of Loss","options":[],"required":null,"pdf_field":""},{"help":"Full address where the loss or accident happened","type":"text","label":"Loss Location (complete address)","options":[],"required":null,"pdf_field":""},{"help":"Describe the type and cause of the loss","type":"text","label":"Nature of Loss/ Cause of Loss","options":[],"required":null,"pdf_field":""},{"help":"Detailed description of the accident or loss","type":"text","label":"Loss Description (details of accident)","options":[],"required":null,"pdf_field":""},{"help":"Estimated monetary loss for building","type":"amount","label":"Estimate Loss for Building","options":[],"required":false,"pdf_field":""},{"help":"Total estimated loss amount in Indian Rupees","type":"amount","label":"Total Loss in aggregate (₹)","options":[],"required":null,"pdf_field":""},{"help":"Name of any co-insurer involved","type":"text","label":"Co Insurance Details Name of Insurer","options":[],"required":false,"pdf_field":""},{"help":"FIR number if reported to police","type":"text","label":"FIR No. if intimated to Policy","options":[],"required":false,"pdf_field":""},{"help":"Fire brigade report number if applicable","type":"text","label":"If intimated to Fire Brigade, Report No. (If Applicable)","options":[],"required":false,"pdf_field":""},{"help":"Name and phone number of contact person for claim","type":"text","label":"Contact person Name & No.","options":[],"required":null,"pdf_field":""},{"help":"Explain if there was any delay in informing the insurer","type":"text","label":"Reason for delay in notification of claim","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","fields":[{"help":"Sign to confirm the details are true and correct","type":"signature","label":"Signature of the Insured","options":[],"required":null,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"claims under Shri Bharat Sookshma Udyam Suraksha Policy","attachments":[],"declarations":["The insured confirms that the details provided are true and correct to the best of their knowledge."],"dropped_labels":6},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"chd@shriramgi.com","label":"Help Desk Email ID for claim intimation","level":null,"hours":null,"applies_to":"all","source_url":"https://www.shriramgi.com/claims","quote":"ase download the CLAIM INTIMATION SHEET, fill it and send it to our Help\n                            Desk via Email ID (chd@shriramgi.com)\nNote:\nPlease ensure that the following information is ready with you at the time of\n                            claim","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800-300-30000","label":"Customer Help Desk Toll Free","level":null,"hours":"7 Days in week 4:00 AM to Midnight 12:00","applies_to":"all","source_url":"https://www.shriramgi.com/claims","quote":"Option 1:\nIntimate a claim online on Shriram General Insurance website or over the\n                            phone at 1800-300-30000/1800-103-3009 or through the MYSGI App\nOption 2:\nPlease download the CLAIM INTIMATION SHEET, fill it and send it to our","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800-103-3009","label":"Customer Help Desk Toll Free","level":null,"hours":"7 Days in week 9:30 am to 5:30 pm","applies_to":"all","source_url":"https://www.shriramgi.com/claims","quote":"ate a claim online on Shriram General Insurance website or over the\n                            phone at 1800-300-30000/1800-103-3009 or through the MYSGI App\nOption 2:\nPlease download the CLAIM INTIMATION SHEET, fill it and send it to our Help","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/shriram-general-insurance/1168-shri-bharat-sookshma-udyam-suraksha-policy-uin-irdan137rp0029v01202021-claim-for"}