{"id":195,"title":"LAGHU LITE CLAIM FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/laghu-lite/claim-forms/laghu-lite-retail-claim-form.pdf","sha256":"367e9bd6159edd3cf1fc844970b33a1e2f9d50a1383247f59042943336ed4173","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured claimant to file a claim under the Laghu Lite insurance policy.","notes":["Issue of this claim form is not to be taken as an admission of liability.","If any detail or information is not readily available, do not delay dispatch of this form; such particulars may be sent later."],"title":"LAGHU LITE CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"A. DETAILS OF INSURED CLAIMANT","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim No","options":[],"required":null,"pdf_field":""},{"help":"Start date of the insurance period","type":"date","label":"Period Of Insurance From","options":[],"required":null,"pdf_field":""},{"help":"End date of the insurance period","type":"date","label":"To","options":[],"required":null,"pdf_field":""},{"help":"Full name of the insured or claimant","type":"text","label":"Name Of Insured/Claimant","options":[],"required":null,"pdf_field":""},{"help":"Full postal address","type":"text","label":"*Address","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal PIN code","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number","type":"phone","label":"Contact Details Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Email address","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""},{"help":"Briefly describe your business or occupation","type":"text","label":"Brief Description of Business/Office/Industry/occupation","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"B. DETAILS OF LOSS/ACCIDENT","fields":[{"help":"Date when the loss or accident occurred","type":"date","label":"Date of Loss","options":[],"required":null,"pdf_field":""},{"help":"Time of loss with am/pm","type":"text","label":"Time of Loss","options":[],"required":null,"pdf_field":""},{"help":"Address where the loss or accident happened","type":"text","label":"Loss Location Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal PIN code of loss location","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Name of contact person at loss location","type":"text","label":"Contact Details of person/s at Loss location Name","options":[],"required":null,"pdf_field":""},{"help":"Relationship of contact person to insured","type":"text","label":"Relationship with Insured","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number of contact person","type":"phone","label":"Contact Details Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number of contact person","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Email address of contact person","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""},{"help":"Specify the type of loss or accident","type":"text","label":"Type of Loss/Accident under which claim is lodged","options":[],"required":null,"pdf_field":""},{"help":"Describe the use of the premises","type":"text","label":"Premises Occupied as","options":[],"required":null,"pdf_field":""},{"help":"Estimated amount of loss in rupees","type":"amount","label":"Estimated Loss (Rs.)","options":[],"required":null,"pdf_field":""},{"help":"Indicate if there were witnesses","type":"yes-no","label":"Were there any witnesses to the loss/accident? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Name(s) of witness(es)","type":"text","label":"If Yes, Name as Person/s","options":[],"required":null,"pdf_field":""},{"help":"Address of witness(es)","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal PIN code of witness(es)","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number of witness(es)","type":"phone","label":"Contact Details Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number of witness(es)","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Email address of witness(es)","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""},{"help":"Indicate if loss was reported to an authority","type":"yes-no","label":"Has the Loss been reported to an Authority? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain why loss was not reported","type":"text","label":"If No, Reason for not reporting","options":[],"required":null,"pdf_field":""},{"help":"Select the authority to which loss was reported","type":"choice","label":"If Yes, Provide details: Fire/Police/Municipality/Other","options":["Fire","Police","Municipality","Other"],"required":null,"pdf_field":""},{"help":"Name of the authority","type":"text","label":"Name of Authority","options":[],"required":null,"pdf_field":""},{"help":"Report or reference number from authority","type":"text","label":"Information report No./Authority reference no.","options":[],"required":null,"pdf_field":""},{"help":"Date of report","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Contact person at the authority","type":"text","label":"Contact Person/s","options":[],"required":null,"pdf_field":""},{"help":"Address of the authority","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal PIN code of authority","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number of authority contact","type":"phone","label":"Contact Details Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number of authority contact","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Email address of authority contact","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"C. DETAILS OF OTHER INSURANCE","fields":[{"help":"Indicate if other insurance covers the loss","type":"yes-no","label":"Is the loss / damage covered under any other insurance? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details of other insurance","type":"text","label":"If Yes, specify details and attach a copy of the policy","options":[],"required":null,"pdf_field":""},{"help":"Name of other insurer","type":"text","label":"Name of Insurer","options":[],"required":null,"pdf_field":""},{"help":"Address of other insurer","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal PIN code of other insurer","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number of other insurer","type":"phone","label":"Contact Details Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number of other insurer","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Email address of other insurer","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""},{"help":"Policy number of other insurance","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Start date of other insurance","type":"date","label":"Period of Insurance From","options":[],"required":null,"pdf_field":""},{"help":"End date of other insurance","type":"date","label":"To","options":[],"required":null,"pdf_field":""},{"help":"Sum insured under other policy","type":"amount","label":"Sum Insured (rs.)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"D. DETAILS OF OTHERS INTEREST","fields":[{"help":"Indicate if insured solely owns the property","type":"yes-no","label":"Is the Insured the Sole Owner of the property? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe nature of others' interest in property","type":"text","label":"If No, please specify Nature of Interest","options":[],"required":null,"pdf_field":""},{"help":"Name(s) of persons with interest","type":"text","label":"Person/s who has/have Interest on property","options":[],"required":null,"pdf_field":""},{"help":"Address of persons with interest","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal PIN code of persons with interest","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number of persons with interest","type":"phone","label":"Contact Details Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number of persons with interest","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Email address of persons with interest","type":"email","label":"Email Id","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"E. Details of claim for property destroyed or damaged or lost","fields":[{"help":"Specify item number(s) from policy for claim","type":"text","label":"Item no of the policy? (Please attach separate sheet if required)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"F. Details of Previous Losses","fields":[{"help":"Provide date, description, amount, and insurer for previous losses","type":"table","label":"Losses during the 3 preceding years Date of loss, Claim description and Cause of loss, Amount of loss (Rs.), Insurer","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"G. Details of Other Information","fields":[{"help":"Indicate if you want to provide additional information and specify if yes","type":"choice","label":"Do you wish to provide any other information? □ Yes □No, If “Yes”, specify","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"H. Photographs of loss or physical damage","fields":[{"help":"Attach photographs showing the loss or damage","type":"photo","label":"Please submit photographs of loss or physical damage, wherever possible.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured claimant"},{"title":"Declaration","fields":[{"help":"Sign to declare the truthfulness of the information","type":"signature","label":"Signature of Insured/Claimant","options":[],"required":true,"pdf_field":""},{"help":"Print your name","type":"text","label":"Name of Insured/Claimant","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 claimant"}],"deadlines":[],"applies_to":"claims under Laghu Lite insurance policy","attachments":["copy of other insurance policy if applicable","photographs of loss or physical 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 shall be forfeited."],"dropped_labels":1},"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/195-laghu-lite-claim-form"}