{"id":1466,"title":"Zuno Surety Bond Insurance (Un-conditional) Claim Form","purpose":"claim","insurer":{"slug":"zuno-general-insurance","name":"Zuno General Insurance Ltd"},"source_pdf":"https://cms.hizuno.com/uploads/Zuno_Surety_Bond_Insurance_claim_form_V_1_0_ea065e474e.pdf?updated_at=2024-12-20T07:40:50.872Z","sha256":"7ab43c530e166c030333f3d587e43ec9e68c97591c08bb305b4f18299447181d","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured or claimant to file a claim under a surety bond insurance policy with Zuno General Insurance.","notes":["Please read the claim form fully before answering the questions.","All questions must be answered as fully as possible; use additional sheets if necessary.","Attach copies of relevant documentation.","Appointment of legal representative should not occur without prior consent of the insurer.","The claim form applies to both conditional and unconditional bonds."],"title":"Zuno Surety Bond Insurance (Un-conditional) Claim Form","submit":{"to":"Zuno General Insurance","how":"","address":"2nd Floor, Tower 3, Wing B, Kohinoor City Mall, Kohinoor City, Kirol Road, Kurla (West), Mumbai - 400 070"},"purpose":"claim","sections":[{"title":"Insured's Details","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":"Enter the postal PIN code","type":"number","label":"Pin code:","options":[],"required":null,"pdf_field":""},{"help":"Name of the person to contact regarding the claim","type":"text","label":"Contact person:","options":[],"required":null,"pdf_field":""},{"help":"Phone number including country and area code if applicable","type":"phone","label":"Contact No.:","options":[],"required":null,"pdf_field":""},{"help":"Start date of the insurance period","type":"date","label":"Period of insurance: From","options":[],"required":null,"pdf_field":""},{"help":"End date of the insurance period","type":"date","label":"To","options":[],"required":null,"pdf_field":""},{"help":"Maximum amount covered under the policy","type":"amount","label":"Limit of indemnity:","options":[],"required":null,"pdf_field":""},{"help":"Value of the bond insured","type":"amount","label":"Bond value:","options":[],"required":null,"pdf_field":""},{"help":"Policy number as per the insurance document","type":"text","label":"Policy No.:","options":[],"required":null,"pdf_field":""},{"help":"Name of the surety company","type":"text","label":"Surety:","options":[],"required":null,"pdf_field":""},{"help":"Name or description of the project related to the bond","type":"text","label":"Project:","options":[],"required":null,"pdf_field":""},{"help":"Name of the principal party to the bond","type":"text","label":"Principal:","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Particulars of Claim","fields":[{"help":"Date when notice of breach or nonpayment was received","type":"date","label":"1. Date(s) of notice(s) of nonpayment/defect/breach to bond principal (and subcontract to bonded principal if applicable) was:","options":[],"required":null,"pdf_field":""},{"help":"Describe the circumstances leading to the claim","type":"text","label":"2. Brief description of the claim circumstances:","options":[],"required":null,"pdf_field":""},{"help":"Date when the claim notice was received","type":"date","label":"3. When did you receive the notice of claim?","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Cure Period Details","fields":[{"help":"Select if the contract includes a cure period","type":"choice","label":"Does the contract include Cure Period If yes, please specify the following:","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Number of days allowed as cure period","type":"number","label":"• The period (no of days) stipulated as cure period under the contract","options":[],"required":null,"pdf_field":""},{"help":"Date when the cure period started","type":"date","label":"• The exact date the cure period came into effect","options":[],"required":null,"pdf_field":""},{"help":"Describe actions taken to remedy the breach","type":"text","label":"• What steps have been taken to cure the alleged defect/breach","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Documents to Attach","fields":[{"help":"Attach original certificates from an independent consultant certifying failure to perform, breach of contract, and amount payable","type":"attachment","label":"IV. Please provide copies of the following:","options":[],"required":null,"pdf_field":""},{"help":"Attach certified copy of the award or judgment in favor of the beneficiary","type":"attachment","label":"V. If the matter has been subjected to court arbitration, then kindly provide a copy of the following –","options":[],"required":null,"pdf_field":""},{"help":"Attach complete contract copy including dates of labor and material supply","type":"attachment","label":"X. Complete copy of the contract entered into between the employee and the insured (Please attach) the date labor material were supplied to the project","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Other Information","fields":[{"help":"Provide details of any other insurance covering this loss","type":"text","label":"VII. Details of other insurances","options":[],"required":null,"pdf_field":""},{"help":"Provide details of all previous claims under similar policies","type":"text","label":"VIII. Details of previous losses","options":[],"required":null,"pdf_field":""},{"help":"Any other relevant information about the claim","type":"text","label":"IX. Please give all other information relevant to this claim (Use additional sheets if space provided in insufficient.)","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Declaration and Authorization","fields":[{"help":"Date of signing the declaration","type":"date","label":"Date:","options":[],"required":null,"pdf_field":""},{"help":"Place where the declaration is signed","type":"text","label":"Place:","options":[],"required":null,"pdf_field":""},{"help":"Sign here to authorize and declare the truthfulness of the claim","type":"signature","label":"Signature of the claimant","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"}],"deadlines":[],"applies_to":"claim under conditional and unconditional surety bonds","attachments":["Original certificate from an independent consultant certifying failure to perform, breach of contract, and amount payable","CA certified copies of contract accounting summary, account history, schedules, and steps to mitigate loss","Certified copy of the award or judgment in favor of the beneficiary if subjected to court arbitration","Complete copy of the contract entered into between the employee and the insured including dates labor/materials were supplied"],"declarations":["The claimant warrants the truth and completeness of all statements made in the form.","If any false or fraudulent statement or concealment of facts is made, the claim shall be forfeited and the policy null and void."],"dropped_labels":2},"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/1466-zuno-surety-bond-insurance-un-conditional-claim-form"}