{"id":1484,"title":"Zuno Group Secure Plus Policy - Claim Form","purpose":"claim","insurer":{"slug":"zuno-general-insurance","name":"Zuno General Insurance Ltd"},"source_pdf":"https://cms.hizuno.com/uploads/Zuno_Group_Secure_Plus_Claim_Form_V_1_a68ae8ef3d.pdf?updated_at=2026-01-09T07:01:32.524Z","sha256":"a4b3234e1adabfb4f26c36c4dd85fdb0fe69dba228f606a91c46df4e3055c3b0","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured person or claimant to file a claim under the Zuno Group Secure Plus insurance policy.","notes":["Fill the form in capital letters","Do not leave any column unanswered; write 'Not applicable' if needed","Attach all required documents to avoid delays","If space is insufficient, use a separate sheet and attach it","For help, call toll free 180012000 or email support@hizuno.com"],"title":"Zuno Group Secure Plus Policy - Claim Form","submit":{"to":"Claims Desk, Zuno General Insurance Ltd, 2nd Floor, Tower 3, Kohinoor City, Kirol Road, Kurla (West) Mumbai -400 070","how":"post","address":"Claims Desk, Zuno General Insurance Ltd, 2nd Floor, Tower 3, Kohinoor City, Kirol Road, Kurla (West) Mumbai -400 070"},"purpose":"claim","sections":[{"title":"Policy and Insured Details","fields":[{"help":"Enter your policy number","type":"text","label":"Policy No.:","options":[],"required":true,"pdf_field":""},{"help":"Enter the full name of the insured person","type":"text","label":"Name of the Insured:","options":[],"required":true,"pdf_field":""},{"help":"Enter the full address of the insured person","type":"text","label":"Address of the Insured:","options":[],"required":true,"pdf_field":""},{"help":"Enter date of birth in DD MM YYYY format","type":"date","label":"Date of Birth:","options":[],"required":true,"pdf_field":""},{"help":"Specify if self-employed or salaried","type":"text","label":"Self-employed/Salaried:","options":[],"required":true,"pdf_field":""}],"filled_by":"Insured Person/Claimant"},{"title":"Loan Details","fields":[{"help":"Enter the loan account number linked to the policy","type":"text","label":"Loan A/c No:","options":[],"required":true,"pdf_field":""},{"help":"Enter the bank or institution name and address","type":"text","label":"Name and address of the Bank/Institution:","options":[],"required":true,"pdf_field":""}],"filled_by":"Insured Person/Claimant"},{"title":"Hospitalization and Illness Details","fields":[{"help":"Enter date of hospital admission in DD MM YYYY format","type":"date","label":"Date of admission:","options":[],"required":true,"pdf_field":""},{"help":"Enter date of hospital discharge in DD MM YYYY format","type":"date","label":"Date of Discharge:","options":[],"required":true,"pdf_field":""},{"help":"Enter date in DD MM YYYY format","type":"date","label":"Date of diagnosis of a major illness, or the date of surgery","options":[],"required":true,"pdf_field":""},{"help":"Describe the illness or surgery","type":"text","label":"Please mention the type of major illness, or the surgery that was needed:","options":[],"required":true,"pdf_field":""},{"help":"Enter full name of the treating doctor","type":"text","label":"Name of the treating Doctor:","options":[],"required":true,"pdf_field":""},{"help":"Provide phone or email of the doctor","type":"text","label":"Contact details of the treating Doctor:","options":[],"required":false,"pdf_field":""}],"filled_by":"Insured Person/Claimant"},{"title":"Other Insurance Details","fields":[{"help":"Select Yes or No","type":"choice","label":"Have you opted for benefits under a different insurance policy:- Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details if applicable","type":"text","label":"If yes, please specify the details.","options":[],"required":false,"pdf_field":""},{"help":"Enter name of other insurance company","type":"text","label":"Name of the insurance company:","options":[],"required":false,"pdf_field":""},{"help":"Enter policy number of other insurance","type":"text","label":"Policy No:","options":[],"required":false,"pdf_field":""},{"help":"Enter sum insured under other policy","type":"amount","label":"Sum insured:","options":[],"required":false,"pdf_field":""},{"help":"Enter amount claimed under other policy","type":"amount","label":"Claimed amount:","options":[],"required":false,"pdf_field":""}],"filled_by":"Insured Person/Claimant"},{"title":"Additional Hospitalization Details","fields":[{"help":"Enter date of admission for additional illness or surgery","type":"date","label":"Date of admission:","options":[],"required":false,"pdf_field":""},{"help":"Enter date of discharge for additional illness or surgery","type":"date","label":"Date of discharge:","options":[],"required":false,"pdf_field":""},{"help":"Describe illness or surgery","type":"text","label":"Please mention the type of major illness, or the surgery performed:","options":[],"required":false,"pdf_field":""}],"filled_by":"Insured Person/Claimant"},{"title":"Bank Details for Claim Payment","fields":[{"help":"Enter name exactly as per bank records","type":"text","label":"Payee name (as per bank records):","options":[],"required":true,"pdf_field":""},{"help":"Specify account type (Savings/Current)","type":"text","label":"Type of account:","options":[],"required":true,"pdf_field":""},{"help":"Enter bank name and branch","type":"text","label":"Bank name & branch:","options":[],"required":true,"pdf_field":""},{"help":"Enter IFSC code of the bank branch","type":"text","label":"IFSC Code:","options":[],"required":true,"pdf_field":""}],"filled_by":"Insured Person/Claimant"},{"title":"Claim Amount and Declaration","fields":[{"help":"Enter the total claim amount","type":"amount","label":"Amount being claimed:","options":[],"required":true,"pdf_field":""},{"help":"Enter your designation if applicable","type":"text","label":"Designation:","options":[],"required":false,"pdf_field":""},{"help":"Enter date of signing in DD MM YYYY format","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing","type":"text","label":"Place:","options":[],"required":true,"pdf_field":""}],"filled_by":"Insured Person/Claimant"}],"deadlines":[],"applies_to":"Zuno Group Secure Plus Policy claims","attachments":["Death Certificate, wherever applicable","Investigation reports like laboratory test, X-rays and reports needed to confirm the injury, etc.","Post-mortem report, if the same was done","Newspaper cutting (in case the accident has been reported by the press)","Amortization schedule and loan-related details","Any other documents as we may ask for"],"declarations":["The issue of this claim form is not an admission of liability","The insured person/claimant must fill the form in capitals and sign it","No column should be left unanswered; if not applicable, mention 'Not applicable'"],"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/1484-zuno-group-secure-plus-policy-claim-form"}