{"id":1450,"title":"Zuno Cattle Insurance Policy Claim form","purpose":"claim","insurer":{"slug":"zuno-general-insurance","name":"Zuno General Insurance Ltd"},"source_pdf":"https://cms.hizuno.com/uploads/Zuno_Cattle_Insurance_Policy_Claim_Form_V_1_0_5eb3cefda0.pdf?updated_at=2024-01-03T07:37:38.220Z","sha256":"f8aad0783b087dd0603ed607512a238e3252a9b10f3d731e1ad97ed1b67ca53c","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for the owner of an insured animal to claim insurance under the Zuno Cattle Insurance Policy.","notes":["Attach photographs of the animal’s body for death or permanent total disablement claims.","Signature or thumb impression of the insured animal’s owner is required.","Signature of witness is required only if thumb impression is used."],"title":"Zuno Cattle Insurance Policy Claim form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"A. DETAILS OF THE INSURED ANIMAL’S OWNER","fields":[{"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":"text","label":"State:","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Pin code:","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Phone:","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile:","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email Id:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Business / Occupation:","options":[],"required":null,"pdf_field":""},{"help":"Enter start and end date of policy period","type":"date","label":"Policy period:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy No:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured animal’s owner"},{"title":"B. DETAILS OF THE INSURED ANIMAL","fields":[{"help":"Provide ear-tag number and date of tagging","type":"text","label":"Ear-tag No. & Date of tagging","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Type of animal","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Gender","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Breed","options":[],"required":null,"pdf_field":""},{"help":"Describe any natural marks on the animal","type":"text","label":"Natural marks","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Value before illness","options":[],"required":null,"pdf_field":""},{"help":"Age of the animal in years","type":"number","label":"Age","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Color","options":[],"required":null,"pdf_field":""},{"help":"Enter date in DD MM YYYY format","type":"date","label":"Date of injury/ sickness / death:","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is the animal/s insured under SFDA/MFAL/DPAP/IRDP/GOI etc.:","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Fill only if animal is financed","type":"text","label":"If Yes, please give the name and address of the bank/ financing institution:","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"What was the cause of the injury / sickness / death of the animal?:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured animal’s owner"},{"title":"C. DETAILS OF OTHER INSURANCE TAKEN FOR THE ANIMAL","fields":[{"help":"Provide details of any other insurance policies on the animal","type":"text","label":"Tell us about other policies, if any:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured animal’s owner"},{"title":"D. DETAILS OF PREVIOUS LOSS","fields":[{"help":"Provide details of any previous claims","type":"text","label":"Have you claimed before? Please tell us:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured animal’s owner"},{"title":"E. A FEW QUESTIONS ABOUT THE LOSS YOU ARE CLAIMING FOR","fields":[{"help":"","type":"text","label":"1. When did you come to know that the animal was ill/injured?","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"2. When did you inform the veterinary doctor about it?","options":[],"required":null,"pdf_field":""},{"help":"Provide all examination dates","type":"text","label":"4. On which date/s did the veterinary doctor examine the animal?","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"5. What is the name/address/mobile number of the veterinary doctor who examined the animal?","options":[],"required":null,"pdf_field":""},{"help":"Attach photographs of the animal’s body","type":"text","label":"6. Tell us about the place of death /permanent total disablement with date and hour (attach photographs of the body)","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"7. What was the cause of death/ permanent total disablement: (Give the name of the disease)","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"a) If death happened by disease, how did you get to know about it?","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"b) If it was an accident, how did it happen and who was with the animal at that time?","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"c) If operated, what was the operation for, and who was the veterinary surgeon?","options":[],"required":null,"pdf_field":""},{"help":"Enter date in DD MM YYYY format","type":"date","label":"d) What was the date of the operation?","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"8. What was the animal being used for at the time of death/permanent total disablement?","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"9. a) Was the animal with you since birth, or was it purchased?","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"b) If bought, from whom did you purchase it? Also mention on which date and at what price","options":[],"required":null,"pdf_field":""},{"help":"Enter date in DD MM YYYY format","type":"date","label":"10. What was the last date of calving?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"11 a) Is the animal also insured with any other company?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"12. a) If the animal has not died, tell us about the injury/disease and how it happened","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"b) Has this injury/disease made the animal permanently unable to reproduce or produce milk?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured animal’s owner"},{"title":"F. DETAILS OF OTHER INFORMATION","fields":[{"help":"","type":"text","label":"Do you want to give us any other information? If yes, please do so here:","options":[],"required":false,"pdf_field":""}],"filled_by":"insured animal’s owner"},{"title":"DECLARATION AND SIGNATURE","fields":[{"help":"Enter date of signing in DD MM YYYY format","type":"date","label":"Date:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Place:","options":[],"required":null,"pdf_field":""},{"help":"Required only if thumb impression is used","type":"signature","label":"Signature of witness (in case of thumb impression only)","options":[],"required":false,"pdf_field":""},{"help":"Sign or provide thumb impression","type":"signature","label":"Signature/ Thumb impression of Insured Animal’s Owner","options":[],"required":true,"pdf_field":""}],"filled_by":"insured animal’s owner"}],"deadlines":[],"applies_to":"claims under Zuno Cattle Insurance Policy","attachments":["photographs of the body (for place of death / permanent total disablement)"],"declarations":["All information given is true to the best of my knowledge.","Proper treatment and care was given to the cattle.","I agree to provide any further information if needed by the Company.","If any information is false or details are missing, the policy will be discontinued and claims will be denied."],"dropped_labels":5},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"support@hizuno.com","label":"Health claims support email","level":null,"hours":null,"applies_to":"health","source_url":"https://www.hizuno.com/health-insurance/health-claim","quote":"ls, you will need to submit a reimbursement claim. For cashless services at a common network hospital, you can write to\nsupport@hizuno.com\n, call us at 1800 12000, or connect with your TPA as mentioned on your card.\nWhen you’re covered by a health insurance","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 12000","label":"Health claims toll free number","level":null,"hours":null,"applies_to":"health","source_url":"https://www.hizuno.com/health-insurance/health-claim","quote":"imbursement claim. For cashless services at a common network hospital, you can write to\nsupport@hizuno.com\n, call us at 1800 12000, or connect with your TPA as mentioned on your card.\nWhen you’re covered by a health insurance policy and need to be ho","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 423 12000","label":"Paid Landline","level":null,"hours":null,"applies_to":"all","source_url":"https://www.hizuno.com/contact-us","quote":"uote\nHome\nContact us\nReach out to us for any Query/ Request or Grievance\nCall us\nToll free - 1800 12000\nPaid Landline -\n022 423 12000\nSenior citizen -\n022 423 12001\nEmail address\nsupport@hizuno.com\nsenior.citizen@hizuno.com\nGrievance Redressal Officer\nM","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/zuno-general-insurance/1450-zuno-cattle-insurance-policy-claim-form"}