{"id":1188,"title":"Shri Education Shield Insurance Policy Claim Form","purpose":"claim","insurer":{"slug":"shriram-general-insurance","name":"Shriram General Insurance Company Limited"},"source_pdf":"https://cdn.shriramgi.com/webassets/download/claim/Shri-Education-Shield-Insurance-Policy-Claim-Form.pdf","sha256":"36a38981ff677e6eface13fa8def1448c008855a2dba0b910e10d38d8fcc8bb7","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to file a claim under the Shri Education Shield Insurance Policy by providing details of the insured, the claim, previous losses, and an estimate of loss.","notes":["The issue of this form is not to be taken as an admission of liability.","Please ensure that all columns of the claim forms are filled in by the insured and no column remains unanswered.","Attach separate sheet if the space is not sufficient."],"title":"Shri Education Shield Insurance Policy Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"1. INSURED DETAILS","fields":[{"help":"","type":"text","label":"Policy Number:","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Claim Number:","options":[],"required":false,"pdf_field":""},{"help":"Enter the insurance coverage period","type":"text","label":"Period of Insurance:","options":[],"required":true,"pdf_field":""},{"help":"Name of the insured","type":"text","label":"Name:","options":[],"required":true,"pdf_field":""},{"help":"Full postal address of the insured","type":"text","label":"Address:","options":[],"required":true,"pdf_field":""},{"help":"Landline phone number","type":"phone","label":"Contact Number: Landline:-","options":[],"required":false,"pdf_field":""},{"help":"Email address of the insured","type":"email","label":"E-mail:","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"2. CLAIM LODGED UNDER WHICH SECTION OF THE POLICY","fields":[{"help":"Select the policy section under which the claim is lodged","type":"choice","label":"Section","options":["1. Standard Fire &Special Perils Policy","2. Burglary Insurance","3. Fire Loss of Profit Policy","4. All Risk Insurance","5. Money Insurance Policy","6. Machinery Breakdown Insurance Policy","7. Boiler and Pressure Plant Insurance","8. Electronic Equipment Insurance Policy","9. Plate Glass and/or Sanitary Fitting Insurance Policy","10. Neon Sign/Glow Sign/Hoarding Insurance Policy","11. Personal Accident Insurance","12. Fidelity Guarantee Policy","13. Employee’s Compensation Insurance","14. Public Liability(Non-Industrial) Insurance Policy"],"required":true,"pdf_field":""},{"help":"Enter the amount of loss for the selected section","type":"amount","label":"Amount of Loss","options":[],"required":true,"pdf_field":""},{"help":"Describe the loss incurred","type":"text","label":"Description of Loss","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"3. DETAILS OF PREVIOUS LOSS","fields":[{"help":"Serial number of previous loss","type":"number","label":"Sr.","options":[],"required":false,"pdf_field":""},{"help":"Date when the previous loss occurred","type":"date","label":"Date of Loss","options":[],"required":false,"pdf_field":""},{"help":"Amount of previous loss","type":"amount","label":"Amount of Loss","options":[],"required":false,"pdf_field":""},{"help":"Name of insurer for previous loss","type":"text","label":"Name of Insurance Company","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"4. ESTIMATE OF LOSS","fields":[{"help":"Serial number for estimate items","type":"number","label":"Sr.","options":[],"required":false,"pdf_field":""},{"help":"Description of contents lost or damaged","type":"text","label":"Contents","options":[],"required":false,"pdf_field":""},{"help":"Description of other items lost or damaged","type":"text","label":"Others (furniture/fixture/fittings if owned by insured)","options":[],"required":false,"pdf_field":""},{"help":"Total estimated loss amount","type":"amount","label":"Total","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration and Signature","fields":[{"help":"Date of signing the form","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""},{"help":"Place where the form is signed","type":"text","label":"Place:","options":[],"required":true,"pdf_field":""},{"help":"Signature of the insured person","type":"signature","label":"Signature of the Insured","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"claims under Shri Education Shield Insurance Policy","attachments":["Please attach relevant claim form for each section"],"declarations":["I/We confirm that the above given details are true and correct to the best of my knowledge."],"dropped_labels":1},"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/1188-shri-education-shield-insurance-policy-claim-form"}