{"id":193,"title":"MARINE INSURANCE - CARGO CLAIM FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/marine-insurance-cargo/claim-forms/marine-insurance-cargo-retail-claim-form.pdf","sha256":"1a4cf977ef943e0e59c87b96678f26b8c95cbfe17e1172093793491cca0a620c","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured to claim compensation for loss or damage to cargo under a marine insurance policy.","notes":["The issue of this claim form is not an admission of liability.","Damaged goods must be kept for survey.","Take all necessary steps to minimize loss and prevent further damage.","Ensure recovery rights against the Carrier / Third party are protected."],"title":"MARINE INSURANCE - CARGO CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Policy and Insured Details","fields":[{"help":"","type":"text","label":"Policy / Certificate No:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim No:","options":[],"required":null,"pdf_field":""},{"help":"Name of the insured","type":"text","label":"Name:","options":[],"required":null,"pdf_field":""},{"help":"Address of the insured","type":"text","label":"Address:","options":[],"required":null,"pdf_field":""},{"help":"Contact person for the insured","type":"text","label":"Contact Person:","options":[],"required":null,"pdf_field":""},{"help":"Email address of the insured or contact person","type":"email","label":"E-mail:","options":[],"required":null,"pdf_field":""},{"help":"Fax number if available","type":"text","label":"Fax:","options":[],"required":false,"pdf_field":""},{"help":"Telephone number(s)","type":"phone","label":"Tel (s):","options":[],"required":null,"pdf_field":""},{"help":"Mobile number","type":"phone","label":"Mobile no","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Consigner Details","fields":[{"help":"Name of the consigner","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"Contact person for the consigner","type":"text","label":"Contact Person:","options":[],"required":null,"pdf_field":""},{"help":"Email address of the consigner or contact person","type":"email","label":"E-mail:","options":[],"required":null,"pdf_field":""},{"help":"Fax number if available","type":"text","label":"Fax:","options":[],"required":false,"pdf_field":""},{"help":"Telephone number(s)","type":"phone","label":"Tel (s):","options":[],"required":null,"pdf_field":""},{"help":"Mobile number","type":"phone","label":"Mobile no","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Consignee Details","fields":[{"help":"Name(s) of the consignee","type":"text","label":"Names","options":[],"required":null,"pdf_field":""},{"help":"Contact person for the consignee","type":"text","label":"Contact Person:","options":[],"required":null,"pdf_field":""},{"help":"Email address of the consignee or contact person","type":"email","label":"E-mail:","options":[],"required":null,"pdf_field":""},{"help":"Fax number if available","type":"text","label":"Fax:","options":[],"required":false,"pdf_field":""},{"help":"Telephone number(s)","type":"phone","label":"Tel (s):","options":[],"required":null,"pdf_field":""},{"help":"Mobile number","type":"phone","label":"Mobile no","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Transport Details","fields":[{"help":"Starting location of the goods","type":"text","label":"Place of departure","options":[],"required":null,"pdf_field":""},{"help":"Destination location of the goods","type":"text","label":"Place of arrival","options":[],"required":null,"pdf_field":""},{"help":"Date when goods departed","type":"date","label":"Date of departure","options":[],"required":null,"pdf_field":""},{"help":"Date when goods arrived","type":"date","label":"Date of arrival","options":[],"required":null,"pdf_field":""},{"help":"Description of the goods","type":"text","label":"Nature of Goods","options":[],"required":null,"pdf_field":""},{"help":"Mode of transport used","type":"text","label":"Means of Transport","options":[],"required":null,"pdf_field":""},{"help":"Name of the carrier or forwarding agent","type":"text","label":"Name of Carrier/forwarder","options":[],"required":null,"pdf_field":""},{"help":"Declared value of the goods","type":"amount","label":"Value of Goods","options":[],"required":null,"pdf_field":""},{"help":"Type of packing used","type":"text","label":"Packing","options":[],"required":null,"pdf_field":""},{"help":"Number of the consignment note","type":"text","label":"Consignment Note No:","options":[],"required":null,"pdf_field":""},{"help":"Date of the consignment note","type":"date","label":"Consignment Note Date:","options":[],"required":null,"pdf_field":""},{"help":"Date goods arrived at destination port or station","type":"date","label":"Date when goods reached destination town/railway station/port of discharge:","options":[],"required":null,"pdf_field":""},{"help":"Date goods were taken delivery at final destination","type":"date","label":"Date of taking delivery at the final destination:","options":[],"required":null,"pdf_field":""},{"help":"Explain any delay in taking delivery","type":"text","label":"Reasons for delay for taking delivery at final destination , if any :","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Loss Details","fields":[{"help":"Indicate if damage was visible when goods arrived","type":"yes-no","label":"Was the damage visible on arrival? Yes /No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Date when loss was notified","type":"date","label":"Date of Notice of Loss","options":[],"required":null,"pdf_field":""},{"help":"Place where loss was notified","type":"text","label":"Place of Notice of Loss","options":[],"required":null,"pdf_field":""},{"help":"Describe the damage to the goods","type":"text","label":"Description of damage.","options":[],"required":null,"pdf_field":""},{"help":"Explain the cause of the loss","type":"text","label":"Cause of Loss","options":[],"required":null,"pdf_field":""},{"help":"Describe type and extent of loss","type":"text","label":"Type and extent of Loss","options":[],"required":null,"pdf_field":""},{"help":"Where the damaged goods are located","type":"text","label":"Location of damaged goods","options":[],"required":null,"pdf_field":""},{"help":"Indicate if steamer survey or open delivery was done and attach certificates","type":"yes-no","label":"If damaged in transit, was steamer survey held or open delivery taken? If so attach certificates from the carrier","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if loss notification was sent to carrier and attach copy if yes","type":"yes-no","label":"Written notifications of loss send against carrier? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain if notification was not sent","type":"text","label":"If Yes, attach copy, if No, give reasons","options":[],"required":false,"pdf_field":""},{"help":"Total amount claimed in rupees","type":"amount","label":"Total Claim Amount (In Rs)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Payment Details","fields":[{"help":"Name and address of beneficiary","type":"text","label":"Payment To","options":[],"required":null,"pdf_field":""},{"help":"Beneficiary details for payment","type":"text","label":"Name and address of beneficiary","options":[],"required":null,"pdf_field":""},{"help":"Bank details for payment","type":"text","label":"Name and address of bank and account no.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","fields":[{"help":"Place where form is signed","type":"text","label":"Place:","options":[],"required":null,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date:","options":[],"required":null,"pdf_field":""},{"help":"Signature and company seal of the insured","type":"signature","label":"Signature & company seal of the insured","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"marine cargo insurance claims","attachments":["Way bill, B/L, airway bill etc.","Original Insurance policy/ certificate if any","Commercial invoice","Survey report","Delivery receipts/ notes","Cost of repair receipts or estimate","Copy of notification of loss to carrier","Other relevant correspondence/ documents"],"declarations":["Agree to provide additional information if required.","Warrant the truth of the statements made in the form to the best of knowledge and belief.","A false or fraudulent statement or concealment will void the policy and forfeit all rights to recover."],"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/193-marine-insurance-cargo-claim-form"}