{"id":1271,"title":"Port Package Insurance Claim Form","purpose":"claim","insurer":{"slug":"tata-aig-general-insurance","name":"Tata AIG General Insurance Company Limited"},"source_pdf":"https://www.tataaig.com/s3/port_package_insurance_claims_form_ed0a5725ab.pdf","sha256":"ecc69f3f75afb35c1a6aac9850f0e804eaeaefd6fc4ecba946e02f5dc67e78b2","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured to report and claim for loss or damage under the Port Package Insurance policy.","notes":["The issue of this form does not constitute admission of liability.","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."],"title":"Port Package Insurance Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"A. INSURED","fields":[{"help":"","type":"text","label":"Policy Number:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name:","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":"","type":"phone","label":"Telephone Number:","options":[],"required":null,"pdf_field":""},{"help":"Enter start and end dates of insurance period","type":"date","label":"Period of Insurance: From To","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"B. PARTICULARS OF ACCIDENT","fields":[{"help":"Provide date and time when the loss or damage occurred","type":"date","label":"Date & Time of Occurrence:","options":[],"required":null,"pdf_field":""},{"help":"Location where the loss or damage happened","type":"text","label":"Address of loss location:","options":[],"required":null,"pdf_field":""},{"help":"Describe damage to insured property","type":"text","label":"Give the details of the damage (a) to Insured Property:","options":[],"required":null,"pdf_field":""},{"help":"Explain cause of damage","type":"text","label":"What was the cause of the damage?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is any one responsible for the damage?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is there any possibility of recovery?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"C. DETAILS OF THE DAMAGED SECTION/WORKS","fields":[{"help":"Describe repair method","type":"text","label":"How will the damage be repaired?","options":[],"required":null,"pdf_field":""},{"help":"List parts to be replaced if any","type":"text","label":"Please state in detail whether any parts must be replaced:","options":[],"required":null,"pdf_field":""},{"help":"Provide weight and value details","type":"text","label":"Give weight and value of damaged parts:","options":[],"required":null,"pdf_field":""},{"help":"Explain in detail with sketch and witness statements if possible","type":"text","label":"How did the damage occur?","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated material damage cost","type":"amount","label":"What is the Estimated amount of Material Damage?","options":[],"required":null,"pdf_field":""},{"help":"Provide expected restoration date","type":"date","label":"Estimated date of restoration","options":[],"required":null,"pdf_field":""},{"help":"Cost to speed up repair if applicable","type":"amount","label":"Estimated cost if any to expedite repair","options":[],"required":null,"pdf_field":""},{"help":"Provide loss of profit estimate with details","type":"amount","label":"Estimate of Loss of Profit (with details of increased cost etc if any)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"D. DETAILS OF OTHER INSURANCES","fields":[{"help":"List other insurance policies covering this loss","type":"text","label":"Give details of other Insurances, if any, covering the present loss:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"E. DETAILS OF PREVIOUS LOSSES","fields":[{"help":"Provide information on previous claims related to this project","type":"text","label":"Give details of previous Claims, if any, on the project:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Port Package Insurance claims","attachments":[],"declarations":["The insured declares that the answers are conscientious and faithful and accepts liability for correctness and completeness.","The insured agrees to provide additional information or supporting documents as requested by insurer or surveyor."],"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/1271-port-package-insurance-claim-form"}