{"id":176,"title":"Claim Form_ Elephant Insurance","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/elephant-insurance/claim-forms/elephant-insurance-claim-form.pdf","sha256":"448b0857c901e1eda15779a5b96346a95b0640122771cf94040453264a1da48a","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured to claim insurance for an animal under Elephant Insurance. The policyholder or insured person fills it.","notes":[],"title":"Claim Form_ Elephant Insurance","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured Details","fields":[{"help":"","type":"text","label":"Regional/Branch Office Code","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Broker/Agent Name & code","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of the Insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Plot/Door No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Area/Road","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Village","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"Enter the postal PIN code","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Enter a contact phone number","type":"phone","label":"Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Enter your insurance policy number","type":"text","label":"Insurance Policy No :","options":[],"required":null,"pdf_field":""},{"help":"Enter the insurance coverage period","type":"text","label":"Period Of Insurance:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Animal in respect of which claim is made","fields":[{"help":"Specify the animal type","type":"text","label":"Type of Animal","options":[],"required":null,"pdf_field":""},{"help":"Select the sex of the animal","type":"choice","label":"Sex","options":["M","F"],"required":null,"pdf_field":""},{"help":"Enter age in years","type":"number","label":"Age","options":[],"required":null,"pdf_field":""},{"help":"Specify the breed of the animal","type":"text","label":"Breed","options":[],"required":null,"pdf_field":""},{"help":"Describe the animal's color, trunk, tail, switch, distinguishing features","type":"text","label":"Description of the Animal","options":[],"required":null,"pdf_field":""},{"help":"Enter any identification number of the animal","type":"text","label":"Identification No.","options":[],"required":null,"pdf_field":""},{"help":"Enter estimated market value in rupees","type":"amount","label":"Insured’s estimate of Market Value.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of the Claim","fields":[{"help":"Describe the disease","type":"text","label":"1. Nature of Disease contracted.","options":[],"required":null,"pdf_field":""},{"help":"Enter the date when disease was first detected","type":"date","label":"2. Date Of Disease was first detected","options":[],"required":null,"pdf_field":""},{"help":"Provide treatment details","type":"text","label":"3. Details regarding treatment of Disease.","options":[],"required":null,"pdf_field":""},{"help":"Enter the name of the veterinary doctor","type":"text","label":"4. Name of Veterinary Doctor attending and Performing Post-mortem","options":[],"required":null,"pdf_field":""},{"help":"Enter date of death","type":"date","label":"5. a) Date of the Death","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration and Signature","fields":[{"help":"Sign here","type":"signature","label":"Signature of the Insured","options":[],"required":null,"pdf_field":""},{"help":"Enter date of signing","type":"date","label":"Date:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"","attachments":[],"declarations":["The statements made are true and nothing material has been concealed.","False or fraudulent statements will void the policy and forfeit compensation.","The insured agrees to make a statutory declaration if required."],"dropped_labels":2},"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/176-claim-form-elephant-insurance"}