{"id":1264,"title":"CLAIM FORM\nTATA AIG Bharat Griha Raksha Policy","purpose":"claim","insurer":{"slug":"tata-aig-general-insurance","name":"Tata AIG General Insurance Company Limited"},"source_pdf":"https://www.tataaig.com/s3/Tata_AIG_Bharat_Griha_Raksha_Policy_Micro_Insurance_Product_Claim_Form_7731101feb.pdf","sha256":"d2f1dd01c3315b7bb35dbeff6759f28ac53d2bcbf062be4b266dd04ca673cdc9","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by the policyholder to claim insurance benefits under the Tata AIG Bharat Griha Raksha Policy for losses covered by the policy.","notes":["Do not delay dispatch of this form for unavailable information, which can be sent later.","If space is insufficient in any column, attach separate sheet(s).","The issue of this form does not constitute admission of liability.","The company may call for additional information to establish cause, admissibility, and extent of loss."],"title":"CLAIM FORM\nTATA AIG Bharat Griha Raksha Policy","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Policy and Insured Details","fields":[{"help":"","type":"text","label":"Claim No:","options":[],"required":null,"pdf_field":""},{"help":"Start date of policy period","type":"date","label":"Policy Period: From","options":[],"required":null,"pdf_field":""},{"help":"End date of policy period","type":"date","label":"To","options":[],"required":null,"pdf_field":""},{"help":"Policy number as per your insurance documents","type":"text","label":"Policy No:","options":[],"required":null,"pdf_field":""},{"help":"Full name of the insured person","type":"text","label":"Details of Insured: 1. Name:","options":[],"required":true,"pdf_field":""},{"help":"Full postal address of the insured","type":"text","label":"2. Address:","options":[],"required":true,"pdf_field":""},{"help":"Email address of the insured","type":"email","label":"3. Contact Information: Email:","options":[],"required":false,"pdf_field":""},{"help":"Postal PIN code","type":"number","label":"PIN:","options":[],"required":true,"pdf_field":""},{"help":"Mobile phone number with STD code","type":"phone","label":"Phone: Mobile STD Code: Number:","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Details of Claimant","fields":[{"help":"Full name of the claimant","type":"text","label":"1. Name:","options":[],"required":true,"pdf_field":""},{"help":"Full postal address of the claimant","type":"text","label":"2. Address:","options":[],"required":true,"pdf_field":""},{"help":"Email address of the claimant","type":"email","label":"3. Contact Information: Email:","options":[],"required":false,"pdf_field":""},{"help":"Postal PIN code","type":"number","label":"PIN:","options":[],"required":true,"pdf_field":""},{"help":"Mobile phone number with STD code","type":"phone","label":"Phone: Mobile STD Code: Number:","options":[],"required":false,"pdf_field":""},{"help":"Tick all applicable coverage types","type":"checkbox","label":"4. Coverage under which loss is claimed: (Please tick as applicable)","options":["Home Building","Home Contents","Loss of Rent","Rent for Alternative Accomodation","Valuable Contents","Personal Accident Cover","Add-on Cover 1","Add-on Cover 1"],"required":true,"pdf_field":""},{"help":"Tick the cause(s) of loss applicable","type":"checkbox","label":"5. Cause of loss: (Please tick as applicable)","options":["Fire","Explosion or Implosion","Lightning","Earthquake, volcanic eruption, or other convulsions of nature","Storm, Cyclone, Typhoon, Tempest, Hurricane, Tornado, Tsunami, Flood and Inundation","Subsidence, Landslide, Rockslide","Bush fire, Forest Fire, Jungle Fire","Impact damage","Missile testing operations","Riot, Strikes, Malicious Damages","Terrorism","Bursting or overflowing of water tanks, apparatus and pipes","Leakage from automatic sprinkler installations","Theft within 7 (seven) days from the occurrence of and proximately caused by any of the above Insured Events"],"required":true,"pdf_field":""}],"filled_by":"claimant"},{"title":"Loss Details","fields":[{"help":"Describe the loss in detail","type":"text","label":"6. Loss details:","options":[],"required":true,"pdf_field":""},{"help":"Explain how the loss happened","type":"text","label":"7: A brief note on how the loss occurred / Incident Note.","options":[],"required":true,"pdf_field":""},{"help":"Date when the loss occurred","type":"date","label":"Date of loss:","options":[],"required":true,"pdf_field":""},{"help":"Police FIR number if applicable","type":"text","label":"FIR No:","options":[],"required":false,"pdf_field":""},{"help":"Explain why not reported if applicable","type":"text","label":"If no, please give reasons:","options":[],"required":false,"pdf_field":""},{"help":"Indicate occupancy status","type":"yes-no","label":"9. Was the premise occupied at the time of loss?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Date since premise was unoccupied","type":"date","label":"If no, since when it was unoccupied?","options":[],"required":false,"pdf_field":""},{"help":"Date when loss was discovered","type":"date","label":"Date of discovery:","options":[],"required":true,"pdf_field":""},{"help":"Full address where loss occurred","type":"text","label":"Place of loss (Full address):","options":[],"required":true,"pdf_field":""},{"help":"Time of loss with AM or PM","type":"text","label":"Time of loss: AM/PM","options":["AM","PM"],"required":false,"pdf_field":""},{"help":"Provide financier details if applicable","type":"text","label":"10. State whether the property damaged, is Hypothecated / Financed / Leased / Hire purchase, If yes, please give details. (Name and address of the financier):","options":[],"required":false,"pdf_field":""},{"help":"Claim amount in Indian Rupees","type":"amount","label":"11. Value of loss / amount of claim lodged(in `):","options":[],"required":true,"pdf_field":""},{"help":"List other insurance policies if any","type":"text","label":"12. Details of other policies covering the present loss:","options":[],"required":false,"pdf_field":""},{"help":"Provide details of any previous claims","type":"text","label":"13. Details of previous losses, if any, under the current policy with this company or similar policy under any other company:","options":[],"required":false,"pdf_field":""},{"help":"Report number from fire brigade if applicable","type":"text","label":"Fire Brigade Report No:","options":[],"required":false,"pdf_field":""},{"help":"Time when loss was discovered","type":"text","label":"Time of discovery: AM/PM","options":["AM","PM"],"required":false,"pdf_field":""},{"help":"Provide witness details if available","type":"text","label":"14. Details of witness - Name and address (if any):","options":[],"required":false,"pdf_field":""},{"help":"List items damaged with columns: Sr No, Description on Property, No of units, Insured Value, Value claimed","type":"table","label":"15. List of Items/property damaged: (As per annexure in Page 3).","options":[],"required":true,"pdf_field":""},{"help":"Date of signing the form","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""},{"help":"Place of signing the form","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":"claimant"}],"deadlines":["Inform Company of the loss without any delay, keeping in mind the timelines specified in the Policy"],"applies_to":"Claims under Tata AIG Bharat Griha Raksha Policy","attachments":["Separate sheet(s) if space is insufficient in any column","Annexure listing items/property damaged as per page 3"],"declarations":["The insured declares that the answers given are conscientious and complete.","If any information is found false, fraudulent, or misrepresented, the policy shall be void and rights to losses forfeited.","The insured authorizes the company or its representatives to collect relevant information and documents to verify the loss."],"dropped_labels":1},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"address","value":"TATA AIG General Insurance Company Limited, 5th and 6th Floor, Imperial Towers, H.No 7-1-6-617/A, GHMC No - 615,616, Ameerpet, Hyderabad – 500016, Telangana","label":"Claims Submission Address","level":null,"hours":null,"applies_to":"health","source_url":"https://www.tataaig.com/s3/medicare_select_cis_e7df7ce2ec.pdf","quote":"tion or procedure. Submit claim documents within 15 days of occurrence of incident. Kindly send the claim documents to: TATA AIG General Insurance Company Limited, 5th and 6th Floor, Imperial Towers, H.No 7-1- 6-617/A, GHMC No - 615,616, Ameerpet, Hyderabad – 500016, Telangana, Phone-040-66864900 Assistance: 1. Website www.tataaig.com or Call 24*7 Customer Support No.: 022 6489 8282/1800 267 1","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"healthclaimsupport@tataaig.com","label":"Health Claims Support Email","level":null,"hours":null,"applies_to":"health","source_url":"https://www.tataaig.com/s3/medicare_select_prospectus_efd23b0ad6.pdf","quote":"al Towers, H.No 7-1-6-617/A, GHMC No - 615,616, Ameerpet, Hyderabad – 500016, Telangana, Phone: 040-66864900\nEmail ID | healthclaimsupport@tataaig.com\nCustomer Support Number: | 022 6489 8282 / 1800 267 1955 (nly for senior citizen policy holders)\nWebsite | www.tataaig.","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"040-66864900","label":"Claims Administrator Phone","level":null,"hours":null,"applies_to":"health","source_url":"https://www.tataaig.com/s3/medicare_select_prospectus_efd23b0ad6.pdf","quote":"th and 6th Floor, Imperial Towers, H.No 7-1-6-617/A, GHMC No - 615,616, Ameerpet, Hyderabad – 500016, Telangana, Phone: 040-66864900\nEmail ID | healthclaimsupport@tataaig.com\nCustomer Support Number: | 022 6489 8282 / 1800 267 1955 (nly for senior citi","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/tata-aig-general-insurance/1264-claim-form-tata-aig-bharat-griha-raksha-policy"}