{"id":1280,"title":"Notification of Loss or Damage for Deterioration in Cold Storage Insurance Claim Form","purpose":"claim","insurer":{"slug":"united-india-insurance","name":"United India Insurance Company Limited"},"source_pdf":"https://uiic.co.in/web/sites/default/files/Policy-Document/Deterioration%20of%20stocks%20in%20Cold%20Storage%20Insurance.pdf","sha256":"7aa5d9f3657b7d3945a6dc9db9ce0d0385b1804d30d4454f052623e69cf6298d","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by the policyholder to notify the insurer about loss or damage due to deterioration of stocks in cold storage under their insurance policy.","notes":["The issuing of this form is not an admission of liability by the Company","All questions must be fully answered"],"title":"Notification of Loss or Damage for Deterioration in Cold Storage Insurance Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Policyholder and Plant Details","fields":[{"help":"","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"I D Card No.","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Business/Occupation","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Telephone Number","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Telefax Number","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"VAT Registration No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"VAT status","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Policy Number","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Name of chief Engineer or Plant Manager","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Address of Plant","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Age of Plant","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Loss Details","fields":[{"help":"Enter the date when the loss or damage occurred","type":"date","label":"When did the loss or damage occur? Date","options":[],"required":true,"pdf_field":""},{"help":"Provide name and address of the surveyor","type":"text","label":"Name and Address of specialist surveyor","options":[],"required":false,"pdf_field":""},{"help":"List cold storage (specify), types of goods spoilt, quantity, and value in columns","type":"table","label":"Deterioration loss details","options":[],"required":false,"pdf_field":""},{"help":"List cold storage (specify), types of goods sold, quantity, and value in columns","type":"table","label":"Goods sold as a consequence of the loss event","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Additional Information on Deterioration","fields":[{"help":"Describe the cause and nature of stock deterioration; attach supporting sketches or photos","type":"text","label":"Describe nature and cause of the deterioration of stock. (Please attach sketches, Photos etc.)","options":[],"required":false,"pdf_field":""},{"help":"State if standby equipment is available and details","type":"text","label":"Is stand by equipment available to minimize loss of stock? If so, Please state","options":[],"required":false,"pdf_field":""},{"help":"State if transportation to other cold storage is possible and details","type":"text","label":"Can goods be transported to other cold storage houses? If so, please state types and quantities","options":[],"required":false,"pdf_field":""},{"help":"Describe other measures taken to reduce loss","type":"text","label":"What other actions is being taken to minimise the loss?","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Estimated Loss and Other Information","fields":[{"help":"Provide an estimate of the loss amount","type":"text","label":"What are the estimated loss?","options":[],"required":false,"pdf_field":""},{"help":"Provide any additional relevant details","type":"text","label":"Any other relevant information","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Declaration and Signature","fields":[{"help":"Sign the form","type":"signature","label":"SIGNATURE","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"DATE","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":[],"applies_to":"Deterioration of stocks in Cold Storage Insurance","attachments":["copy of the 'Monthly Declaration' for the preceding month","sketches, Photos etc. describing the deterioration","completed form 'Notification of loss or damage for Machinery Insurance' (if machinery damage involved)"],"declarations":["The policyholder declares to have answered all questions conscientiously and truthfully","The policyholder is liable and fully responsible for the correctness and completeness of the statement"],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"mayfair.claims@mayfairwecare.com","label":"Overseas Mediclaim Claims Email","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"/\nContact Details\nMedical Emergency\nGeneral Queries\nGrievances and Escalations\nEmail ID\nmayfairassist@mayfairwecare.com\nmayfair.claims@mayfairwecare.com\ninfo@mayfairwecare.com[AJ1]\nPolicy pays through below plans:\n1. OMP - Policy : B - Worldwide - Excluding USA & Canada -","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"mayfairassist@mayfairwecare.com","label":"Overseas Mediclaim Medical Emergency Email","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"://www.mayfairwecare.com/contact/\nContact Details\nMedical Emergency\nGeneral Queries\nGrievances and Escalations\nEmail ID\nmayfairassist@mayfairwecare.com\nmayfair.claims@mayfairwecare.com\ninfo@mayfairwecare.com[AJ1]\nPolicy pays through below plans:\n1. OMP - Policy : B - Wor","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"18004190133","label":"Overseas Mediclaim Policy Toll-Free Number (India)","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"l - Free Number\nUnited States: 18888811701 United Kingdom: 08083045211 Canada: 18885192693 Singapore: 8003211710 India: 18004190133 For Other Country Specific Local Contact Numbers, please visit https://www.mayfairwecare.com/contact/\nWebsite\nhttps://w","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"18888811701","label":"Overseas Mediclaim Policy Toll-Free Number (United States)","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"ss\nTower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bangalore - 560 029\nToll - Free Number\nUnited States: 18888811701 United Kingdom: 08083045211 Canada: 18885192693 Singapore: 8003211710 India: 18004190133 For Other Country Specific Loc","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"08083045211","label":"Overseas Mediclaim Policy Toll-Free Number (United Kingdom)","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"nowledge Park, 4/1 Bannerghatta Road, Bangalore - 560 029\nToll - Free Number\nUnited States: 18888811701 United Kingdom: 08083045211 Canada: 18885192693 Singapore: 8003211710 India: 18004190133 For Other Country Specific Local Contact Numbers, please v","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"18885192693","label":"Overseas Mediclaim Policy Toll-Free Number (Canada)","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"annerghatta Road, Bangalore - 560 029\nToll - Free Number\nUnited States: 18888811701 United Kingdom: 08083045211 Canada: 18885192693 Singapore: 8003211710 India: 18004190133 For Other Country Specific Local Contact Numbers, please visit https://www.may","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"8003211710","label":"Overseas Mediclaim Policy Toll-Free Number (Singapore)","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"lore - 560 029\nToll - Free Number\nUnited States: 18888811701 United Kingdom: 08083045211 Canada: 18885192693 Singapore: 8003211710 India: 18004190133 For Other Country Specific Local Contact Numbers, please visit https://www.mayfairwecare.com/contact","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"18001236889","label":"General Contact Number","level":null,"hours":null,"applies_to":"all","source_url":"https://uiic.co.in/web/","quote":"Links\nCustomer Portal\nKYC Process\nFacebook\nInstagram\nYoutube\nTwitter\nOffice Locator\nIntermediary Portal\nDigi Locker\ntel:18001236889","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/united-india-insurance/1280-notification-of-loss-or-damage-for-deterioration-in-cold-storage-insurance-claim"}