{"id":165,"title":"ALL RISK POLICY CLAIMS FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/lifestyle-insurance/all-risk-policy/claim-forms/all-risk-retail-claims-form.pdf","sha256":"8079b01b26525ccb79873c3fa2fba930487e6aea1d7e35084dfb51028ef80b29","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured to claim for loss or damage under the All Risk Policy. The insured fills this form to provide details of the claim event and property affected.","notes":["Issuance of this claim form is not an admission of liability.","All facts and statements must be factual and unbiased.","If any detail is not available, send the form without delay and provide details later.","Attach list of parts/components lost or damaged with amounts.","Attach copy of other insurance policy if applicable."],"title":"ALL RISK POLICY CLAIMS FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Policy and Insured Details","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim No","options":[],"required":null,"pdf_field":""},{"help":"Start date of policy period","type":"date","label":"Policy Period From","options":[],"required":null,"pdf_field":""},{"help":"End date of policy period","type":"date","label":"Policy Period To","options":[],"required":null,"pdf_field":""},{"help":"Full name of the insured or claimant","type":"text","label":"Name Of Insured/Claimant","options":[],"required":null,"pdf_field":""},{"help":"Full postal address","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 code","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number","type":"phone","label":"Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Email address","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""},{"help":"Coverage category from policy schedule","type":"text","label":"Coverage Category (as specified in the Schedule)","options":[],"required":null,"pdf_field":""},{"help":"Description of property or item insured","type":"text","label":"Property/Item Details","options":[],"required":null,"pdf_field":""},{"help":"Identification details of the property/item","type":"text","label":"Identification details","options":[],"required":null,"pdf_field":""},{"help":"List parts/components lost or damaged with amounts","type":"text","label":"Property Lost/Damaged (Pls attach list of the parts / components along with amount)","options":[],"required":null,"pdf_field":""},{"help":"Specify type of loss or damage and claim section","type":"text","label":"Type of Loss/Damage / Section under which claim is lodged","options":[],"required":null,"pdf_field":""},{"help":"Details if claim triggered under optional covers","type":"text","label":"Selected Optional Covers","options":[],"required":null,"pdf_field":""},{"help":"Date when the insured event occurred","type":"date","label":"Date Of occurrence of Insured Event","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Insured Event Details","fields":[{"help":"Time of event occurrence with AM or PM","type":"text","label":"Time Of occurrence of Insured Event Am/Pm","options":["Am","Pm"],"required":null,"pdf_field":""},{"help":"Address where event occurred","type":"text","label":"Insured Event Location 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 of event location","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Short description of the event","type":"text","label":"Briefly narrate how the Insured Event Occurred","options":[],"required":null,"pdf_field":""},{"help":"Amount claimed for loss/damage","type":"amount","label":"Claimed Amount","options":[],"required":null,"pdf_field":""},{"help":"Purchase date of the insured property/item","type":"date","label":"Date of Purchase of Property/Item","options":[],"required":null,"pdf_field":""},{"help":"Name of contact person at loss location","type":"text","label":"Contact Details Of Person/s At Loss Location Name","options":[],"required":null,"pdf_field":""},{"help":"Relationship of contact person to insured","type":"text","label":"Relationship With Insured","options":[],"required":null,"pdf_field":""},{"help":"Phone or other contact details","type":"text","label":"Contact Details","options":[],"required":null,"pdf_field":""},{"help":"Indicate if witnesses were present","type":"yes-no","label":"Were There Any Witnesses To The Insured Event? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Names of witnesses if any","type":"text","label":"If Yes, Name Of Person/S","options":[],"required":null,"pdf_field":""},{"help":"Address of witnesses","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":"PIN code of witness address","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Contact details of witnesses","type":"text","label":"Contact Details","options":[],"required":null,"pdf_field":""},{"help":"Email of witnesses","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""},{"help":"Indicate if loss was reported to any authority","type":"yes-no","label":"Has The Loss Been Reported To An Authority: Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Reason for not reporting loss","type":"text","label":"If No, Reason For Not Reporting","options":[],"required":null,"pdf_field":""},{"help":"Details of authority reported to","type":"text","label":"If Yes, Provide Details","options":[],"required":null,"pdf_field":""},{"help":"Select authority type reported to","type":"checkbox","label":"Fire □ Police □ Municipality □ Other □","options":["Fire","Police","Municipality","Other"],"required":null,"pdf_field":""},{"help":"Name of the authority","type":"text","label":"Name Of Authority","options":[],"required":null,"pdf_field":""},{"help":"Report or reference number and date","type":"text","label":"Information Report No./Authority Reference No. And Date","options":[],"required":null,"pdf_field":""},{"help":"Contact person at authority","type":"text","label":"Contact Person/S","options":[],"required":null,"pdf_field":""},{"help":"Address of authority","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":"PIN code of authority address","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Phone number of authority","type":"phone","label":"Contact No.","options":[],"required":null,"pdf_field":""},{"help":"Email of authority","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Other Insurance and Ownership Details","fields":[{"help":"Indicate if other insurance covers loss","type":"yes-no","label":"Is the loss/damage covered under any other insurance Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Details of other insurance and attach copy","type":"text","label":"If Yes, Specify Details & Attach A Copy Of The Policy","options":[],"required":null,"pdf_field":""},{"help":"Name of other insurer","type":"text","label":"Name Of Insurer","options":[],"required":null,"pdf_field":""},{"help":"Address of other insurer","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":"PIN code of other insurer","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Phone number of other insurer","type":"phone","label":"Contact No.","options":[],"required":null,"pdf_field":""},{"help":"Email of other insurer","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""},{"help":"Policy number of other insurance","type":"text","label":"Policy No","options":[],"required":null,"pdf_field":""},{"help":"End date of other policy period","type":"date","label":"Policy Period To","options":[],"required":null,"pdf_field":""},{"help":"Sum insured under other policy","type":"amount","label":"Sum Insured","options":[],"required":null,"pdf_field":""},{"help":"Details of other interests in property","type":"text","label":"Details Of Other Interest","options":[],"required":null,"pdf_field":""},{"help":"Indicate if insured is sole owner","type":"yes-no","label":"Is The Insured The Sole Owner Of The Property? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Nature of interest if not sole owner","type":"text","label":"If No, Specify Nature Of Interest","options":[],"required":null,"pdf_field":""},{"help":"Names of persons with interest","type":"text","label":"Person/S Who Has/Have Interest On Property","options":[],"required":null,"pdf_field":""},{"help":"Address of persons with interest","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":"PIN code of persons with interest","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Contact number of persons with interest","type":"phone","label":"Contact No","options":[],"required":null,"pdf_field":""},{"help":"Email of persons with interest","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details Of Items Affected","fields":[{"help":"Columns: Sr. No., Description of Property, Invoice no., Identification details, Make/Model, Sum Insured in (₹), Year of manufacture, Cost of Repair/Replacement","type":"table","label":"Details Of Items Affected","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Additional Details","fields":[{"help":"Indicate if item is part of a pair or set","type":"yes-no","label":"Does the insured item hold special value as a part of a pair/set? Yes □ / No□","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate if previous repairs were done","type":"yes-no","label":"Has the affected equipment undergone any repairs previously? Yes □ / No□","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe nature of previous repairs","type":"text","label":"If “Yes”, the nature of such repairs","options":[],"required":null,"pdf_field":""},{"help":"Date when previous repair was done","type":"date","label":"Date of repair","options":[],"required":null,"pdf_field":""},{"help":"Details of repair work done","type":"text","label":"Nature of repair","options":[],"required":null,"pdf_field":""},{"help":"Parts affected in previous repair","type":"text","label":"Parts affected","options":[],"required":null,"pdf_field":""},{"help":"Cost of previous repair in rupees","type":"amount","label":"Cost of Repair (Rs)","options":[],"required":null,"pdf_field":""},{"help":"Columns: Date of loss, Claim description and Cause of loss, Value of loss (Rs.), Insurer","type":"table","label":"Details of Previous Losses Losses during the 3 preceding years, including under any other insurance:","options":[],"required":null,"pdf_field":""},{"help":"Indicate if additional information is provided","type":"yes-no","label":"Do you wish to provide any other information? □ Yes □No, If “Yes”, please specify below or add separate sheet.","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration and Signature","fields":[{"help":"Date of signing","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Signature of the insured or claimant","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"Print name of insured or claimant","type":"text","label":"Name of Insured/Claimant","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"All Risk Policy claims","attachments":["List of the parts / components lost or damaged along with amount","Copy of other insurance policy if applicable","Separate sheet for additional information if needed"],"declarations":["The insured agrees to provide any additional information if required.","The insured warrants the truth of all statements and documents provided.","If any false or fraudulent statement or concealment is made, the claim will be forfeited and policy void without refund."],"dropped_labels":1},"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/165-all-risk-policy-claims-form"}