{"id":1189,"title":"Shri Contractor’s Protection Package 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-CONTRACTORS-PROTECTION-PACKAGE-POLICY-CLAIM-FORM.pdf","sha256":"4fdc77620ef644dacc5fa624b99b3f1dc073d19cc21b449828ef9edb49445322","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for insured persons under the Shri Contractor’s Protection Package Policy to claim insurance for losses or damages covered by the policy.","notes":["Ensure all columns of the claim form are filled and no column remains unanswered.","Attach separate sheet if space is insufficient."],"title":"Shri Contractor’s Protection Package Policy- Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured Details","fields":[{"help":"","type":"text","label":"Claim Number:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy Number:","options":[],"required":null,"pdf_field":""},{"help":"Enter the insurance coverage period","type":"text","label":"Period of Insurance:","options":[],"required":null,"pdf_field":""},{"help":"Name of the insured","type":"text","label":"Name:","options":[],"required":null,"pdf_field":""},{"help":"Full postal address of the insured","type":"text","label":"Address:","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number","type":"phone","label":"Contact Number: Landline:","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile:","options":[],"required":null,"pdf_field":""},{"help":"Email address","type":"email","label":"E-mail:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Claim Details","fields":[{"help":"Select the policy section under which the claim is made","type":"choice","label":"Claim lodged under which section of the policy:","options":["Contractor’s Plant And Machinery Insurance","Individual Personal Accident Insurance","Marine Insurance","Employee’s Compensation Insurance","Fidelity Guarantee Policy"],"required":null,"pdf_field":""},{"help":"Enter the claimed loss amount","type":"amount","label":"Amount of Loss","options":[],"required":null,"pdf_field":""},{"help":"Describe the loss or damage","type":"text","label":"Description of Loss","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Particulars of Accident","fields":[{"help":"Date and time when the accident occurred","type":"date","label":"Date & Time of occurrence:","options":[],"required":null,"pdf_field":""},{"help":"Explain the cause of damage","type":"text","label":"What is the Cause of the damage?","options":[],"required":null,"pdf_field":""},{"help":"Location details of the damage site","type":"text","label":"State the site where the damage occurred and name of the nearest Railway Station","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Damaged Section/Works","fields":[{"help":"Explain cause and attach supporting documents like sketches or photos","type":"text","label":"How did the damage occur and what was its probable cause? (attach sketches, photos, etc)","options":[],"required":null,"pdf_field":""},{"help":"Provide repair details and workshop information","type":"text","label":"How will the damaged items be repaired? Give name and address of the workshop where repair will be carried out.","options":[],"required":null,"pdf_field":""},{"help":"Indicate if repairs will include alterations or improvements","type":"yes-no","label":"Will any alterations or improvements be made to design, construction or material when repairs are carried out?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Other Insurances and Co-Insurances, if any","fields":[{"help":"Policy number of other insurance","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"Name of the other insurance company","type":"text","label":"Name of Company","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Previous Loss","fields":[{"help":"Date of any previous loss","type":"date","label":"Date of Loss","options":[],"required":null,"pdf_field":""},{"help":"Insurance company for previous loss","type":"text","label":"Name of Insurance Company","options":[],"required":null,"pdf_field":""},{"help":"Amount of previous loss","type":"amount","label":"Amount of Loss","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration and Signature","fields":[{"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":""},{"help":"Signature of the insured person","type":"signature","label":"Signature of the Insured","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Claims under Shri Contractor’s Protection Package Policy sections including Contractor’s Plant and Machinery Insurance, Individual Personal Accident Insurance, Marine Insurance, Employee’s Compensation Insurance, and Fidelity Guarantee Policy","attachments":["Separate sheet if space is insufficient","Sketches, photos, etc. supporting damage description"],"declarations":["The issue of this form is not to be taken as an admission of liability.","The undersigned confirms that the details given are true and correct to the best of their knowledge."],"dropped_labels":3},"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/1189-shri-contractors-protection-package-policy-claim-form"}