{"id":163,"title":"PERSONAL CYBER RISKS POLICY CLAIM FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/lifestyle-insurance/personal-cyber-risks-policy/claim-forms/personal-cyber-risks-policy-claim-form.pdf","sha256":"cd5bd966414a0cb630e0ef02ac1285068d59ec813a31209051ce1d45bcb3651c","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured person to file a claim under the Personal Cyber Risks Policy with Generali Central Insurance Company Limited.","notes":["Do not admit liability to the injured party.","Attach a separate sheet if you have insufficient space on this form.","Generali Central Insurance Company Limited will acknowledge receipt and advise on further information within 10 business days.","Keep copies of all documents submitted.","Use the contact details provided for any queries."],"title":"PERSONAL CYBER RISKS POLICY CLAIM FORM","submit":{"to":"Generali Central Insurance Company Limited","how":"","address":"Unit No. 801 & 802, 8th Floor, Tower C, Embassy 247 Park, LBS Marg, Vikhroli (West), Mumbai – 400083"},"purpose":"claim","sections":[{"title":"Insured and Policy Details","fields":[{"help":"Provide your full name and complete address.","type":"text","label":"Full name and address of the insured:","options":[],"required":null,"pdf_field":""},{"help":"Enter your policy number as per your insurance documents.","type":"text","label":"Policy Number:","options":[],"required":null,"pdf_field":""},{"help":"Enter the start date of your policy.","type":"date","label":"Policy Inception Date:","options":[],"required":null,"pdf_field":""},{"help":"Enter the expiry date of your policy.","type":"date","label":"Policy Expiry Date:","options":[],"required":null,"pdf_field":""},{"help":"Provide a contact phone number.","type":"phone","label":"Telephone/Mobile:","options":[],"required":null,"pdf_field":""},{"help":"Provide a valid email address.","type":"email","label":"Email:","options":[],"required":null,"pdf_field":""},{"help":"Mention the specific insuring clause applicable to your claim.","type":"text","label":"Please specify under which insuring clause you want to register claim:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Claim Details","fields":[{"help":"Describe when and how you discovered the loss.","type":"text","label":"Please mention the date and circumstances loss was discovered by you?","options":[],"required":null,"pdf_field":""},{"help":"Indicate if you reported to authorities and attach FIR copy.","type":"text","label":"Have you reported the discovery of your loss to the Policy Authority/Cyber Cell, please provide a copy of FIR","options":[],"required":null,"pdf_field":""},{"help":"Provide details if any third party has claimed against you.","type":"text","label":"Has any affected Person or third Party lodged a claim against you for legal liability directly resulting from you","options":[],"required":null,"pdf_field":""},{"help":"Attach all listed documents if applicable.","type":"attachment","label":"In case of above, please attached following: 1. Copy of court summons 2. Information on appointment of lawyer for your defense. 3. Confirmation of your attendance on any court hearing 4. Copies of document towards expenses incurred.","options":[],"required":null,"pdf_field":""},{"help":"Provide proof of informing relevant institutions in case of theft loss.","type":"text","label":"In case of theft Loss under any of the insuring clause, please provide proof informing service providers or proof of informing banks/Financial Institutions.","options":[],"required":null,"pdf_field":""},{"help":"Detail any restoration costs incurred due to malware.","type":"text","label":"Have you incurred any expenses on Restoration Cost to technically restore, retrieve or reinstall data or computer programs damaged by entry of Malware? If Yes please provide details","options":[],"required":null,"pdf_field":""},{"help":"Provide details of software license expenses if any.","type":"text","label":"Have you incurred any expense on purchasing a software license necessary to restore, retrieve or reinstall the Data or Computer Program/Mobile App?","options":[],"required":null,"pdf_field":""},{"help":"Provide details of any IT consultant appointed.","type":"text","label":"Have you appointed any IT Consultant to prove the amount and extent of the covered loss? If Yes please provide details.","options":[],"required":null,"pdf_field":""},{"help":"Provide details and fees paid for any mental health treatment related to cyber attack.","type":"text","label":"Due to Cyber Attack have you consulted any psychiatrist, psychologist or counselor for treatment of stress, anxiety or such similar medical conditions? If Yes please provide details and amount of fees paid","options":[],"required":null,"pdf_field":""},{"help":"Provide the total estimated expenses related to the claim.","type":"amount","label":"Please indicate the estimated expenses incurred","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","fields":[{"help":"Enter the date of signing the declaration.","type":"date","label":"Date:","options":[],"required":null,"pdf_field":""},{"help":"Enter the place where the form is signed.","type":"text","label":"Place:","options":[],"required":null,"pdf_field":""},{"help":"Sign the form to declare the truthfulness of the information.","type":"signature","label":"Signature of applicant","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Personal Cyber Risks Policy claims","attachments":["Copy of FIR (if reported to Policy Authority/Cyber Cell)","Copy of court summons (if applicable)","Information on appointment of lawyer for your defense (if applicable)","Confirmation of your attendance on any court hearing (if applicable)","Copies of documents towards expenses incurred (if applicable)","Proof of informing service providers or banks/Financial Institutions in case of theft loss"],"declarations":["All particulars and statements made are true and correct to the best of my knowledge and belief.","No information relevant to this claim has been withheld.","All conditions and stipulations of the policy have been complied with."],"dropped_labels":0},"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/163-personal-cyber-risks-policy-claim-form"}