{"id":139,"title":"GC BHARAT GRIHA RAKSHA CLAIM FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/home-insurance/gc-bharat-griha-raksha/claim-forms/gc-bharat%20griha%20raksha-retail-claim-form.pdf","sha256":"a9f4982c73366540c3257703566e1ce57f3c84720e5f58d6c52570b9e2ea5f2e","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured claimant to file a claim under the GC Bharat Griha Raksha insurance policy for loss or damage to property.","notes":["Claim cheque will be dispatched to the address mentioned in the form and this will update the policy address.","If nominee was declared at proposal time, no change is accepted at claim time.","Legal Heir Certificate is mandatory if nominee details are not available in policy.","Attach photographs of loss or physical damage wherever possible."],"title":"GC BHARAT GRIHA RAKSHA CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"A. DETAILS OF INSURED CLAIMANT","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim No","options":[],"required":null,"pdf_field":""},{"help":"Start date of insurance period","type":"date","label":"Period Of Insurance From","options":[],"required":null,"pdf_field":""},{"help":"End date of insurance period","type":"date","label":"To","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name Of Insured/Claimant","options":[],"required":true,"pdf_field":""},{"help":"Claim cheque will be sent to this address; it will update the policy address","type":"text","label":"*Address","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"","type":"number","label":"Pin code","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Phone No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email Id:","options":[],"required":null,"pdf_field":""},{"help":"Describe occupancy type of dwelling","type":"text","label":"Occupancy Dwelling","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"B. DETAILS OF LOSS/ACCIDENT","fields":[{"help":"","type":"date","label":"Date of Loss","options":[],"required":true,"pdf_field":""},{"help":"Specify time and am or pm","type":"text","label":"Time of Loss","options":["am","pm"],"required":true,"pdf_field":""},{"help":"Address where loss occurred","type":"text","label":"Loss Location Address","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"","type":"number","label":"Pin code","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Relationship with Insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Contact Details Phone No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""},{"help":"Specify type of loss or accident","type":"text","label":"Type of Loss/Accident under which claim is lodged","options":[],"required":true,"pdf_field":""},{"help":"Provide detailed description of loss event","type":"text","label":"Describe the circumstances of Loss, how it happened, and what Caused Loss/Damage","options":[],"required":true,"pdf_field":""},{"help":"If applicable","type":"text","label":"In Case of Death: Please provide following details: a. Name of Nominee","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"b. Nominee’s Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"E Mail ID","options":[],"required":null,"pdf_field":""},{"help":"Describe how premises is occupied","type":"text","label":"Premises Occupied as","options":[],"required":null,"pdf_field":""},{"help":"Estimated amount of loss in rupees","type":"amount","label":"Estimated Loss (Rs.)","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Were there any witnesses to the loss/accident? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Name of witness(es)","type":"text","label":"If Yes, Name as Person/s","options":[],"required":null,"pdf_field":""},{"help":"Address of witness(es)","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Contact Details Phone No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Has the Loss been reported to an Authority? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain why loss was not reported","type":"text","label":"If No, Reason for not reporting","options":[],"required":null,"pdf_field":""},{"help":"Select authority where loss was reported","type":"choice","label":"If Yes, Provide details: Fire/Police/Municipality/Other","options":["Fire","Police","Municipality","Other"],"required":null,"pdf_field":""},{"help":"Name of reporting authority","type":"text","label":"Name of Authority","options":[],"required":null,"pdf_field":""},{"help":"Reference number of report","type":"text","label":"Information report No./Authority reference no.","options":[],"required":null,"pdf_field":""},{"help":"Date of report","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Contact person at authority","type":"text","label":"Contact Person/s","options":[],"required":null,"pdf_field":""},{"help":"Address of authority","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Contact Details Phone No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"C. DETAILS OF OTHER INSURANCE","fields":[{"help":"","type":"yes-no","label":"Is the loss / damage covered under any other insurance? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide other insurer details and attach policy copy","type":"text","label":"If Yes, specify details and attach a copy of the policy","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of Insurer","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":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Phone No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Start date of other insurance","type":"date","label":"Period of Insurance From","options":[],"required":null,"pdf_field":""},{"help":"End date of other insurance","type":"date","label":"To","options":[],"required":null,"pdf_field":""},{"help":"Sum insured under other policy","type":"amount","label":"Sum Insured (rs.)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"D. DETAILS OF OTHERS INTEREST","fields":[{"help":"","type":"yes-no","label":"Is the Insured the Sole Owner of the property? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe nature of interest of others","type":"text","label":"If No, please specify Nature of Interest","options":[],"required":null,"pdf_field":""},{"help":"Name(s) of other interested persons","type":"text","label":"Person/s who has/have Interest on property","options":[],"required":null,"pdf_field":""},{"help":"Address of other interested persons","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Phone No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Contact Details Phone No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"E. DETAILS OF CLAIM FOR PROPERTY DESTROYED OR DAMAGED OR LOST","fields":[{"help":"List items claimed; attach extra sheet if needed","type":"text","label":"Item no of the policy? (Please attach separate sheet if required)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"F. DETAILS OF PREVIOUS LOSSES","fields":[{"help":"Provide details of losses in last 3 years with columns: Date, Description and Cause, Amount, Insurer","type":"table","label":"Losses during the 3 preceding years (Date of loss, Claim description and Cause of loss, Amount of loss (Rs.), Insurer)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"G. DETAILS OF OTHER INFORMATION","fields":[{"help":"Provide any additional information if yes","type":"text","label":"Do you wish to provide any other information? □ Yes □No, If “Yes”, specify","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"H. PHOTOGRAPHS","fields":[{"help":"Attach photos of the loss or damage","type":"photo","label":"Please submit photographs of loss or physical damage, wherever possible.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"DECLARATION AND SIGNATURE","fields":[{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of Insured/Claimant","options":[],"required":true,"pdf_field":""},{"help":"Print your name","type":"text","label":"Name of Insured/Claimant","options":[],"required":true,"pdf_field":""}],"filled_by":"insured claimant"}],"deadlines":[],"applies_to":"Claims under GC Bharat Griha Raksha policy","attachments":["Copy of other insurance policy if loss is covered under other insurance","Photographs of loss or physical damage","Separate sheet for item details if required","Legal Heir Certificate if nominee details are not available in policy"],"declarations":["I/We agree to provide additional information to the company if required.","I/We warrant the truth of the foregoing statement to the best of my/our knowledge and belief.","If any false or fraudulent statement or concealment is made, the policy shall be void and rights to recover shall be forfeited."],"dropped_labels":1},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"GCIcare@generalicentral.com","label":"Claim Intimation Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/motor-insurance/motor-claim-process","quote":"ses.\nCLAIM FORM\nYou can\nclick here\nand check our claim form\nCALL ON\n1800 220233\n1860 500 3333\n022 6783 7800\nEMAIL US AT\nGCIcare@generalicentral.com\nVISIT OUR BRANCH\nYou can check for your nearest branch\nhere\nClaim Process Simplified\nSimple steps to help you file a cl","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"GCIClaims@generalicentral.com","label":"Other Claim Intimation Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/other-claim-process","quote":"NLINE CLAIM INTIMATION\nYou can\nclick here\nto intimate claim\nCALL ON\n1800 220233\n1860 500 3333\n022 6783 7800\nEMAIL US AT\nGCIClaims@generalicentral.com\nVISIT OUR BRANCH\nYou can check for your nearest branch\nhere\nInitiate Quick Claim\nExtended Warranty\nMarine & Others\nProd","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 220 233","label":"Claim Intimation Phone","level":null,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/motor-insurance/motor-claim-process","quote":"aim under your insurance policy.\nCashless Claim Process\nReimbursement Claim Process\n1\nIntimate us online or  Call us on 1800 220 233\n2\nSurveyor will inspect the vehicle.\n3\nProvide requested documents to surveyor\n4\nApproved claim amount will be communic","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1860 500 3333","label":"Claim Intimation Phone","level":null,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/motor-insurance/motor-claim-process","quote":"Motor Claim Process | Generali Central\nGrievance Redressal\nQuick Pay\nNeed Analysis\n1860 500 3333\n|\n022 6783 7800\n1860 500 3333\n022 6783 7800\nProducts\nRenew\nClaim\nHelp & Support\nAbout Us\nTrending Searches\nHealth Insur","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 6783 7800","label":"Claim Intimation Phone","level":null,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/motor-insurance/motor-claim-process","quote":"Motor Claim Process | Generali Central\nGrievance Redressal\nQuick Pay\nNeed Analysis\n1860 500 3333\n|\n022 6783 7800\n1860 500 3333\n022 6783 7800\nProducts\nRenew\nClaim\nHelp & Support\nAbout Us\nTrending Searches\nHealth Insurance\nDog Insuran","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/generali-central-insurance/139-gc-bharat-griha-raksha-claim-form"}