{"id":1267,"title":"Claim Form  Business Guard - Udyam Package","purpose":"claim","insurer":{"slug":"tata-aig-general-insurance","name":"Tata AIG General Insurance Company Limited"},"source_pdf":"https://www.tataaig.com/s3/BG_Udyam_Package_Claim_Form_27865246b4.pdf","sha256":"5597cdd359bf364fa663c41ff0c44b97b7c93b20265042c774a215bbfd6b1a78","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for the insured person to report a loss or damage under the Business Guard - Udyam Package insurance policy.","notes":["Notify the company without delay as soon as loss or damage is known.","If any detail is not readily available, send the form immediately and provide particulars later.","The issuance of this form is not an admission of liability."],"title":"Claim Form  Business Guard - Udyam Package","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Policy and Insured Details","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of insured (“You’’ as per policy)","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Provide telephone number and email id","type":"text","label":"Telephone Number / email id","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"email id","options":[],"required":null,"pdf_field":""},{"help":"Start date of insurance coverage","type":"date","label":"Period of Insurance From","options":[],"required":null,"pdf_field":""},{"help":"End date of insurance coverage","type":"date","label":"To","options":[],"required":null,"pdf_field":""},{"help":"Describe ownership interests if not sole owner","type":"text","label":"If Insured is not the sole owner, the nature of his/their interests in the property and the details of other Interests.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of the Loss","fields":[{"help":"Provide date and time when loss occurred","type":"date","label":"Date & Time of Loss","options":[],"required":null,"pdf_field":""},{"help":"Name and time when loss was noticed","type":"text","label":"Who noticed the loss and when?","options":[],"required":null,"pdf_field":""},{"help":"Explain how the loss happened and its cause","type":"text","label":"Detail the Circumstances leading to the Loss and its cause.","options":[],"required":null,"pdf_field":""},{"help":"Indicate if authorities were informed","type":"choice","label":"Whether Loss has been intimated to Police / Fire brigade / any other authorities","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Attach police or fire brigade reports if applicable","type":"attachment","label":"If yes, also attach copies of their report","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated monetary value of loss","type":"amount","label":"Estimate of Loss","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Other Insurances","fields":[{"help":"List other insurance policies covering the property","type":"text","label":"Give details of other Insurance’s, if any, covering affected property","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Previous Losses","fields":[{"help":"Provide information on past claims for this property","type":"text","label":"Give details of Previous Claims, if any, on the affected property.","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":"Sign here","type":"signature","label":"Signature of the Insured","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Business Guard - Udyam Package claims","attachments":["copies of police / fire brigade / other authorities reports if loss was intimated"],"declarations":["The insured declares that the answers are conscientious and faithful and is liable for correctness and completeness.","If any statement is untrue, the entire claim under the policy will be forfeited."],"dropped_labels":0},"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/1267-claim-form-business-guard-udyam-package"}