{"id":169,"title":"CAMEL INSURANCE CLAIM FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/camel-insurance/claim-forms/camel-insurance-retail-claim-form.pdf","sha256":"53f8856d3a4d258292beac59e902b5d186f432793d7c75f6ae4e057a83542649","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is for insured claimants to file a claim related to an insured animal under their policy with Camel Insurance.","notes":["The issue of this claim form is not to be taken as an admission of liability."],"title":"CAMEL INSURANCE CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Policy and Insured Claimant Details","fields":[{"help":"","type":"text","label":"Insurance Policy Number","options":[],"required":null,"pdf_field":""},{"help":"Start date of the insurance coverage period","type":"date","label":"Period of Insurance From","options":[],"required":null,"pdf_field":""},{"help":"Full name of the insured or claimant","type":"text","label":"1 Name Of Insured/Claimant","options":[],"required":null,"pdf_field":""},{"help":"Full postal address including city, state, and pin code","type":"text","label":"2 Address","options":[],"required":null,"pdf_field":""},{"help":"City of residence","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"State of residence","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Contact phone number","type":"phone","label":"3 Contact Phone Number","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Email address","type":"email","label":"E-mail","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"Description of Animal Claimed For","fields":[{"help":"Specify the type of animal","type":"text","label":"Type of Animal","options":[],"required":null,"pdf_field":""},{"help":"Breed of the animal","type":"text","label":"Breed","options":[],"required":null,"pdf_field":""},{"help":"Sex of the animal","type":"text","label":"Sex","options":[],"required":null,"pdf_field":""},{"help":"Describe color, body marks, and other distinct features","type":"text","label":"Detailed Description Of Animal Like Colour, body Marks, Other Distinct Features","options":[],"required":null,"pdf_field":""},{"help":"Age of the animal","type":"text","label":"Age","options":[],"required":null,"pdf_field":""},{"help":"Market value of the animal before illness or death","type":"amount","label":"Value prior to illness/Death","options":[],"required":null,"pdf_field":""},{"help":"Date when illness was first noticed","type":"date","label":"1. When was the animal first seen ill?","options":[],"required":null,"pdf_field":""},{"help":"Date when veterinary doctor was informed","type":"date","label":"2. When was notice sent to Veterinary Doctor?","options":[],"required":null,"pdf_field":""},{"help":"Dates of first and last veterinary visits","type":"text","label":"3. When first and last seen by Veterinary Doctor?","options":[],"required":null,"pdf_field":""},{"help":"Name and address of the attending veterinary doctor","type":"text","label":"4. Name and address of Veterinary Doctor Who attended","options":[],"required":null,"pdf_field":""},{"help":"Location, date, and time of animal's death","type":"text","label":"5. Place of death, with date and hour.","options":[],"required":null,"pdf_field":""},{"help":"Explain cause of disease or accident and details of any surgery","type":"text","label":"6. If from Disease, how do you account for it? If from Accident, how did occur and who was In charge? If operated upon recently, state nature & date, also name of Surgeon.","options":[],"required":null,"pdf_field":""},{"help":"Purpose or use of the animal before death","type":"text","label":"7. Purpose for which used or employed before Death.","options":[],"required":null,"pdf_field":""},{"help":"State whether the animal was bred or purchased","type":"text","label":"8. Did you breed or buy the Animal?","options":[],"required":null,"pdf_field":""},{"help":"Date of the animal's last calving","type":"date","label":"9. Date of last calving.","options":[],"required":null,"pdf_field":""},{"help":"Name of seller if animal was bought","type":"text","label":"10. If bought, State: - a) From Whom?","options":[],"required":null,"pdf_field":""},{"help":"Amount being claimed","type":"amount","label":"11. Amount of claim","options":[],"required":null,"pdf_field":""},{"help":"Value of salvage with voucher attached","type":"amount","label":"Amount of salvage (attach voucher)","options":[],"required":null,"pdf_field":""},{"help":"Details of other insurance or compensation sources","type":"text","label":"12. Is the animal insured elsewhere? Are you receiving compensation from any other source? If so, from whom.","options":[],"required":null,"pdf_field":""},{"help":"Description of injury or disease if animal is alive","type":"text","label":"13. a) If animal has not died, describe the nature of injury/disease & state when it occurred & its duration","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"Declaration","fields":[{"help":"Date of signing the declaration","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Place of signing the declaration","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Signature of the insured or claimant","type":"signature","label":"Signature of Insured/Claimant","options":[],"required":true,"pdf_field":""}],"filled_by":"insured claimant"}],"deadlines":[],"applies_to":"","attachments":["voucher for amount of salvage"],"declarations":["I/We agree to provide additional information to the company if required.","I/We warrant the truth of the foregoing statement in every respect to the best of my/our knowledge and belief.","If any false or fraudulent statement, suppression or concealment is made, the policy shall be void and all rights to recover under it shall be forfeited."],"dropped_labels":6},"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/169-camel-insurance-claim-form"}