{"id":1480,"title":"ZUNO EXTENDED WARRANTY CLAIM FORM","purpose":"claim","insurer":{"slug":"zuno-general-insurance","name":"Zuno General Insurance Ltd"},"source_pdf":"https://cms.hizuno.com/uploads/ZUNO_EXTENDED_WARRANTY_CLAIM_FORM_Final_d35c320036.pdf?updated_at=2025-08-22T10:19:18.791Z","sha256":"fa358b7ae4f7ab1d5099bb5173bcb59c9bb96955807d4325ffa805d7a84caf65","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for filing a claim under the Zuno Extended Warranty by the insured or claimant to report damage or loss of a covered asset.","notes":["Issue of this claim form is not to be taken as an admission of liability","If any detail or information is not readily available, do not delay dispatch of this form; other particulars may be sent later","The list of documents is a general requirement; anything specific may be informed during the survey by the surveyor or insurer"],"title":"ZUNO EXTENDED WARRANTY CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Details of the Insured/ Claimant","fields":[{"help":"","type":"text","label":"Name of the Insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Details of Contact Person","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":"Postal PIN code","type":"number","label":"Pin No","options":[],"required":null,"pdf_field":""},{"help":"Phone number with area code","type":"phone","label":"Contact No","options":[],"required":null,"pdf_field":""},{"help":"Valid email address","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Incident Details","fields":[{"help":"Describe what happened","type":"text","label":"Narration of incident","options":[],"required":null,"pdf_field":""},{"help":"Date when the incident occurred","type":"date","label":"Date of occurrence","options":[],"required":null,"pdf_field":""},{"help":"Approximate financial loss","type":"amount","label":"Estimated Loss Amount","options":[],"required":null,"pdf_field":""},{"help":"Place where the incident happened","type":"text","label":"Location of incident","options":[],"required":null,"pdf_field":""},{"help":"Date or time when you became aware of the incident","type":"text","label":"When did you first come to know of the accident / when was the accident reported to you?","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Claims History","fields":[{"help":"","type":"choice","label":"Have you made any claims in the past? YES OR NO","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide details if you answered YES above","type":"text","label":"If Yes, please give the details of cause of accident/occurrence, nature of injury, policy details and claim amount.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Other Insurance","fields":[{"help":"","type":"choice","label":"Are you insured under any other policy YES OR NO","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide details if you answered YES above","type":"text","label":"If yes, please give full particulars of Name of the insurance company, Policy number, period of insurance and claim details.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"}],"deadlines":[],"applies_to":"Zuno Extended Warranty claims","attachments":["Claim form duly signed and filled by insured","Policy/ Certificate Copy","Purchase invoice copy","Warranty card/ details","Photographs of the damaged item"],"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 forfeited"],"dropped_labels":1},"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/1480-zuno-extended-warranty-claim-form"}