{"id":1369,"title":"CATTLE INSURANCE POLICY CLAIM FORM","purpose":"claim","insurer":{"slug":"universal-sompo-general-insurance","name":"Universal Sompo General Insurance Company Limited"},"source_pdf":"https://www.universalsompo.com/assets/file/commercial/cattle-insurance-policy/claim-form.pdf","sha256":"6bbdb274da8ae59683c63820be70d1d954593ad179b854760eda77c10fcdb510","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured to claim under the commercial cattle insurance policy for loss or disability of insured cattle.","notes":[],"title":"CATTLE INSURANCE POLICY CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured Details","fields":[{"help":"","type":"text","label":"Name of the Insured","options":[],"required":null,"pdf_field":""},{"help":"Fill full address including phone number","type":"text","label":"Address of the Insured Plot No/Door No. Building name Road Village City Pin code State Phone No.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Particulars of Cattle in respect of which claim is made","fields":[{"help":"","type":"text","label":"Type of Cattle","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Breed","options":[],"required":null,"pdf_field":""},{"help":"Identification tag number of the cattle","type":"text","label":"Identification Tag No.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of the Claim - Cover 1","fields":[{"help":"Describe the disease contracted by the cattle","type":"text","label":"Nature of Disease contracted.","options":[],"required":null,"pdf_field":""},{"help":"Date when disease was first noticed","type":"date","label":"Date Disease was first detected","options":[],"required":null,"pdf_field":""},{"help":"Provide treatment details for the disease","type":"text","label":"Details regarding treatment of Disease.","options":[],"required":null,"pdf_field":""},{"help":"Name of the veterinarian who attended or performed post-mortem","type":"text","label":"Name of Vet attending and Performing Post-mortem","options":[],"required":null,"pdf_field":""},{"help":"Date when the cattle died","type":"date","label":"a) Date of the Death","options":[],"required":null,"pdf_field":""},{"help":"Cause of the cattle's death","type":"text","label":"b) Cause of Death","options":[],"required":null,"pdf_field":""},{"help":"Describe the accident details and location","type":"text","label":"c) How and where did the accident happen?","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of the Claim - Cover 2","fields":[{"help":"Describe the nature of permanent total disability","type":"text","label":"a) Nature of Permanent Total Disability","options":[],"required":null,"pdf_field":""},{"help":"Indicate if veterinary certificate is obtained and attach it","type":"yes-no","label":"b) Certificate from Vet obtained? If yes, please attach.","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide vet's name and address who issued certificate","type":"text","label":"Name & address of the Vet who issued the Certificate of Soundness","options":[],"required":null,"pdf_field":""},{"help":"Hospital name and address where treatment occurred","type":"text","label":"Name & address of the Hospital where treatment is taken/being taken","options":[],"required":null,"pdf_field":""},{"help":"Provide details of any other cattle insurance policy held","type":"text","label":"Do you have any other Cattle Insurance Policy? If Yes, give details.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","fields":[{"help":"Sign here","type":"signature","label":"Signature of the Insured","options":[],"required":true,"pdf_field":""},{"help":"Print your name","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Provide your address","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Commercial Cattle Insurance Policy claims","attachments":["Certificate from Vet if obtained","List of documents as received with the claim form"],"declarations":["The insured agrees to provide additional information if required and guarantees truthfulness of statements.","The company may verify identity, address, facts, and documents with third parties.","The insured agrees to the company's privacy policy as amended from time to time.","The insured acknowledges understanding of required documents and that delays due to non-submission are not the company's responsibility.","The insured declares all persons with interest in the property are disclosed and no duplicate claims have been made.","The insured consents to verification of identity/address/bank details through Central KYC Registry or UIDAI or other modes."],"dropped_labels":4},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"contactclaims@universalsompo.com","label":"Claims Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.universalsompo.com/resourse-grievance-redressal/","quote":"e Claim Details\nTPA’s Servicing Group Health Insurance\nDownload Pulz App\nConnect with Us\ncontactus@universalsompo.com\ncontactclaims@universalsompo.com\nHealth Insurance :\nComplete Healthcare Insurance\nA Plus Health Insurance\nSaral Suraksha Bima\nGroup Mashak Rakshak Polic","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"contactus@universalsompo.com","label":"Theft Claim Email","level":null,"hours":null,"applies_to":"motor","source_url":"https://www.universalsompo.com/claimintimation/","quote":"ntimate claim.\nFor\nTheft Claim\n, please connect with us on below details.\nPhone:\n1800-22-4030\n,\n1800-200-4030\nor\nEmail:\ncontactus@universalsompo.com\nOk\nView All Policies\nHealth Insurance\nComplete Healthcare Insurance\nSuper Healthcare Insurance\nArogya SanjeevaniInsuran","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800-22-4030","label":"Claims Toll Free Number (MTNL/BSNL Lines)","level":null,"hours":null,"applies_to":"all","source_url":"https://www.universalsompo.com/claims/","quote":null,"fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022-41582900 - 41582999","label":"Claims Helpline Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.universalsompo.com/claims/","quote":"tactclaims@universalsompo.com 2. Call on our Toll Free number 1-800-22-4030 (from MTNL & BSNL Lines) 3. Helpline number 022-41582900 - 41582999\nIn case of telephonic contact, our call centre executive shall note down the basic requirements and pass on the informa","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800-200-4030","label":"Motor Claim Intimation Toll Free","level":null,"hours":"24/7","applies_to":"motor","source_url":"https://www.universalsompo.com/claimintimation/","quote":"Motor Claim Intimation for Coverage | Universal Sompo\n24/7, Customer Care\n1800-22-4030\n,\n1800-200-4030\nCrop Helpline No.\n1800-200-5142\nSenior Citizen\n1800-267-4030\nAbout\r\n                                us\nContact Us\nLogin","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800-200-5142","label":"Crop Helpline Number","level":null,"hours":null,"applies_to":"crop","source_url":"https://www.universalsompo.com/claimintimation/","quote":"otor Claim Intimation for Coverage | Universal Sompo\n24/7, Customer Care\n1800-22-4030\n,\n1800-200-4030\nCrop Helpline No.\n1800-200-5142\nSenior Citizen\n1800-267-4030\nAbout\r\n                                us\nContact Us\nLogin\nI am a Customer\nI am an Agent\nP","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/universal-sompo-general-insurance/1369-cattle-insurance-policy-claim-form"}