{"id":171,"title":"ELECTRIC VEHICLE BATTERY - EXTENDED WARRANTY CLAIMS FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/electric-vehicle-battery-extended-warranty/claim-forms/electric-vehicle-battery-extended-warranty-claim-form.pdf","sha256":"bf6a57bdfcd651866b38d0b52332b6db22cbb2a31d45f8d467b65c8d82f28496","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for the insured to claim under the electric vehicle battery extended warranty policy.","notes":["The claim form must be duly filled and signed by the insured.","All facts and statements must be factual and unbiased.","Issuance of this claim form is not an admission of liability."],"title":"ELECTRIC VEHICLE BATTERY - EXTENDED WARRANTY CLAIMS 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":"Policy and Insured Details","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Certificate Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim Number","options":[],"required":null,"pdf_field":""},{"help":"Name of the insured","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"Full postal address of the insured","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number, if any","type":"phone","label":"Landline No.","options":[],"required":false,"pdf_field":""},{"help":"Email address","type":"email","label":"Email id","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Vehicle Details","fields":[{"help":"VIN of the vehicle","type":"text","label":"Vehicle Identification Number","options":[],"required":null,"pdf_field":""},{"help":"Vehicle make and model","type":"text","label":"Make/ Model","options":[],"required":null,"pdf_field":""},{"help":"Age of the vehicle in years","type":"text","label":"Age of Vehicle","options":[],"required":null,"pdf_field":""},{"help":"Total kilometers driven","type":"number","label":"Mileage (Kms)","options":[],"required":null,"pdf_field":""},{"help":"Serial number of the battery pack","type":"text","label":"Battery Pack Serial No.","options":[],"required":null,"pdf_field":""},{"help":"Warranty period as per manufacturer","type":"text","label":"Manufacturer’s Warranty Period","options":[],"required":null,"pdf_field":""},{"help":"Date of battery health inspection","type":"date","label":"State of Health Inspection Date","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Service Compliance and Trouble Description","fields":[{"help":"Indicate if servicing as per policy was done","type":"yes-no","label":"Have the servicing requirements as per the policy been adhered to ?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe the problem with the battery","type":"text","label":"Trouble Description","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Estimated Expense","fields":[{"help":"Estimated cost of repairs","type":"amount","label":"Estimated Expense","options":[],"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 person","type":"signature","label":"Signature of the Insured","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Electric Vehicle Battery - Extended Warranty claims","attachments":["Copy of Policy/Certificate","Original Extended Warranty Invoice having owner’s signature","Estimate of Repairs"],"declarations":["The details given are true and correct to the best of the insured's belief and knowledge.","If any information is found incorrect, all rights under the policy will be forfeited.","The insured agrees to provide additional information if required."],"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/171-electric-vehicle-battery-extended-warranty-claims-form"}