{"id":1209,"title":"Restructured Weather-based Crop Insurance Scheme (RWBCIS) Claim Form","purpose":"claim","insurer":{"slug":"shriram-general-insurance","name":"Shriram General Insurance Company Limited"},"source_pdf":"https://cdn.shriramgi.com/webassets/download/claim/RWBCISCLAIMFORM.pdf","sha256":"c3d61bb3702a1cbec0e5a4145cd1bdf83b1e373c551ea73dc66aa05236f446db","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured farmer to claim insurance under the Restructured Weather-based Crop Insurance Scheme (RWBCIS) for crop loss due to weather deviations.","notes":["The insured must present the certificate of insurance at the time of claim settlement.","The insurance company will collect weather data from the reference weather station to compute deviation and determine claim eligibility.","Insurance is the subject matter of solicitation."],"title":"Restructured Weather-based Crop Insurance Scheme (RWBCIS) Claim Form","submit":{"to":"Insurance company","how":"post or distribution at pre-specified place and time as announced","address":""},"purpose":"claim","sections":[{"title":"Insured Details and Claim Information","fields":[{"help":"","type":"text","label":"Name of the Insured/ chfer dk uke","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address of the Insured/chfer dk irk","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Village/xkWo dk uke","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Block/TehsilCykWd / rglhy","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"District/ftyk","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State /jkT;","options":[],"required":null,"pdf_field":""},{"help":"Name or code of the reference weather station","type":"text","label":"Reference Weather Station (RWS)/lnHkZ ekSle dsUnz","options":[],"required":null,"pdf_field":""},{"help":"Name or code of the backup weather station","type":"text","label":"Backup Weather Station (BWS) /cSdvi ekSle dsUnz","options":[],"required":null,"pdf_field":""},{"help":"Name of the insured crop","type":"text","label":"InsuredCrop Name / Qly dk uke","options":[],"required":null,"pdf_field":""},{"help":"Name of the village where crop is grown","type":"text","label":"Cropping Village/Qlyh — r xkWo dk uke","options":[],"required":null,"pdf_field":""},{"help":"Area insured in hectares","type":"number","label":"Acreage Insured (Hectares) /chfer {ks=","options":[],"required":null,"pdf_field":""},{"help":"Sum insured in Indian Rupees","type":"amount","label":"Sum Insured (Rs.)/ch ek jkf k","options":[],"required":null,"pdf_field":""},{"help":"Reason for crop loss","type":"text","label":"Cause of Loss /uqdlku dk dkj.k","options":[],"required":null,"pdf_field":""},{"help":"Date of loss","type":"date","label":"fnukda","options":[],"required":null,"pdf_field":""},{"help":"Place of loss","type":"text","label":"LFkku","options":[],"required":null,"pdf_field":""},{"help":"Signature or thumb impression of the insured farmer","type":"signature","label":"Farmer’s Signature or Thumb Impression / fdlku ds gLrk{kj ;k vxwBs dk fu kku","options":[],"required":true,"pdf_field":""}],"filled_by":"insured farmer"}],"deadlines":[],"applies_to":"Restructured Weather Based Crop Insurance Scheme (RWBCIS) claims","attachments":["Certificate of Insurance at the time of claim settlement"],"declarations":["The company is not liable for any payment related to deviations caused by ionizing radiation or nuclear contamination.","The company is not liable for any loss other than due to deviation in anticipated normal weather within specified location and time.","Insurance is not valid if the land is not cultivated during the policy period."],"dropped_labels":0},"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/1209-restructured-weather-based-crop-insurance-scheme-rwbcis-claim-form"}