{"id":172,"title":"CONTRACTORS PLANT AND MACHINERY INSURANCE (RETAIL) CLAIM FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/contractors-plant-machinery-insurance-retail/claim-forms/contractors-plant-and-machinery-insurance-retail-claim%20form.pdf","sha256":"dd653d9aa5a73c5ec5640d8af5e0e3a14238c735a672a9c22cac713836323e02","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to claim for loss or damage under Contractors Plant and Machinery Insurance (Retail).","notes":["The issue of this claim form is not to be taken as an admission of liability."],"title":"CONTRACTORS PLANT AND MACHINERY INSURANCE (RETAIL) CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Details of Insured","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Period of Insurance","options":[],"required":null,"pdf_field":""},{"help":"Name of the insured person or entity","type":"text","label":"1 Name","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 the insured","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"State of the insured","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal pin code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Contact details of the insured","type":"text","label":"3 Contact","options":[],"required":null,"pdf_field":""},{"help":"Landline telephone number","type":"phone","label":"Telephone 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"},{"title":"Particulars of Accident","fields":[{"help":"Date and time when the accident occurred","type":"date","label":"1 Date & time of occurrence","options":[],"required":null,"pdf_field":""},{"help":"Provide name and contact information of any witness","type":"text","label":"2 Name and contact details of witness","options":[],"required":null,"pdf_field":""},{"help":"Describe the accident and the parts of machinery affected","type":"text","label":"3 Brief details of accident and parts affected","options":[],"required":null,"pdf_field":""},{"help":"Explain cause of loss or damage; attach sketches or photographs","type":"text","label":"4 Cause of loss / damage (please provide Sketch / Photographs)","options":[],"required":null,"pdf_field":""},{"help":"Details of the repairer including name, address and contact","type":"text","label":"5 Full particulars of repairer (name address, contact details)","options":[],"required":null,"pdf_field":""},{"help":"Indicate if FIR was filed and provide details if yes","type":"choice","label":"6 Is FIR filed with police authorities? if Yes please provide details","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Item Affected","fields":[{"help":"Serial numbers of affected items","type":"text","label":"1 Serial no of item affected I) II)","options":[],"required":null,"pdf_field":""},{"help":"Describe the machinery affected","type":"text","label":"2 Description of machinery","options":[],"required":null,"pdf_field":""},{"help":"Make and model of the machinery","type":"text","label":"3 Make and Model","options":[],"required":null,"pdf_field":""},{"help":"Estimated replacement cost","type":"amount","label":"4 Replacement cost of machinery","options":[],"required":null,"pdf_field":""},{"help":"Date and details of maintenance and service provider","type":"text","label":"5 Date when machinery was taken for maintenance and by whom? Please furnish full details","options":[],"required":null,"pdf_field":""},{"help":"Details of any previous repairs and their nature","type":"text","label":"6 Previous repair details of affected machinery, including nature of repairs","options":[],"required":null,"pdf_field":""},{"help":"Information on manufacturer’s warranty or guarantee","type":"text","label":"7 Details of Manufacturers warranty / Guarantee","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Damage","fields":[{"help":"Explain cause of damage and repair plan; attach sketches/photos","type":"text","label":"1 How did the damage occur and what was its probable cause? (attach sketches, photos, etc) How will the damaged items be repaired?","options":[],"required":null,"pdf_field":""},{"help":"Estimate damage amounts separately for machinery, third party, and surrounding property","type":"amount","label":"2 Estimated amount of damage a. Machinery b. Third party c. Surrounding Property","options":[],"required":null,"pdf_field":""},{"help":"Workshop details for repairs","type":"text","label":"3 Give name and address of the workshop where repairs will be executed","options":[],"required":null,"pdf_field":""},{"help":"Provide details if loss/damage is claimed under other policy sections","type":"text","label":"4 Details of loss or damage under other section (s) of the policy","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Detail of Other Insurances","fields":[{"help":"Provide details of any other insurance covering this loss","type":"text","label":"Give details of other Insurance, if any, covering the present loss","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Previous Losses","fields":[{"help":"Provide details of any previous claims on this project","type":"text","label":"Give details of previous Claims, if any, on the project","options":[],"required":null,"pdf_field":""},{"help":"Indicate if you want to reinstate the policy","type":"choice","label":"Do you wish to Reinstate the Policy : Yes No","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","fields":[{"help":"Sign and affix company seal","type":"signature","label":"Signature of insured with companies seal","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Contractors Plant and Machinery Insurance (Retail)","attachments":["Sketch / Photographs of loss or damage"],"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":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/172-contractors-plant-and-machinery-insurance-retail-claim-form"}