{"id":196,"title":"POULTRY INSURANCE CLAIM FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/poultry-insurance/claim-forms/poultry-insurance-claim-form.pdf","sha256":"9dc4218bc08039c77e1195013b20bab0b752d7ab418bfc4ea6b762141232711b","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured poultry owner to claim insurance for dead birds under their poultry insurance policy.","notes":[],"title":"POULTRY INSURANCE CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"DETAILS OF INSURED","fields":[{"help":"","type":"text","label":"Name:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City:","options":[],"required":null,"pdf_field":""},{"help":"Postal PIN code","type":"text","label":"Pin:","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Contact Telephone :","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"e-mail:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"DESCRIPTION OF BIRDS CLAIMED FOR","fields":[{"help":"Date of bird death","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Number of birds that died","type":"number","label":"No. of birds died","options":[],"required":null,"pdf_field":""},{"help":"Age of birds in weeks at time of death","type":"number","label":"Age of birds in weeks","options":[],"required":null,"pdf_field":""},{"help":"Batch number of the birds","type":"text","label":"Batch No.","options":[],"required":null,"pdf_field":""},{"help":"Number or identification of the poultry shed","type":"text","label":"Poultry Shed No.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"OTHER DETAILS","fields":[{"help":"Date when illness was first noticed","type":"date","label":"1. When was the illness seen first?","options":[],"required":null,"pdf_field":""},{"help":"Date when veterinary doctor was notified","type":"date","label":"2. When was notice sent to Veterinary Doctor?","options":[],"required":null,"pdf_field":""},{"help":"Dates of first and last veterinary visits","type":"text","label":"3. When first and last seen by Veterinary Doctor?","options":[],"required":null,"pdf_field":""},{"help":"All dates when veterinary doctor attended","type":"text","label":"4. Dates of attendance by Veterinary Doctor:","options":[],"required":null,"pdf_field":""},{"help":"Full name and address of the veterinary doctor","type":"text","label":"5. Name and address of Veterinary Doctor who attended.","options":[],"required":null,"pdf_field":""},{"help":"Explain cause of death and circumstances","type":"text","label":"6. Cause of Death: If from Disease, how do you account for it? If from Accident, how did it occur?","options":[],"required":null,"pdf_field":""},{"help":"Date when the dead birds were inducted into the farm","type":"date","label":"7. Date of Induction of the dead birds in the farm","options":[],"required":null,"pdf_field":""},{"help":"Confirm vaccinations and provide dates","type":"text","label":"8. Whether all necessary vaccinations carried out? Dates of vaccinations:","options":[],"required":null,"pdf_field":""},{"help":"Enter claim amount and salvage amount; attach voucher for salvage","type":"amount","label":"9. Amount of claim Amount of salvage (attach voucher)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"ADDITIONAL DETAILS","fields":[{"help":"Provide details of other insurance or compensation sources","type":"text","label":"10. Are the birds insured else where? Are you being compensated from any other source? If so, from whom.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"DECLARATION","fields":[{"help":"Date of signing the declaration","type":"date","label":"Date:","options":[],"required":null,"pdf_field":""},{"help":"Place of signing the declaration","type":"text","label":"Place:","options":[],"required":null,"pdf_field":""},{"help":"Signature of the insured person","type":"signature","label":"Signature of Insured:","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"poultry insurance claims for dead birds","attachments":["voucher for salvage"],"declarations":["I/We agree to provide additional information to the company if required.","I/We warrant the truth of the foregoing statement to the best of my/our knowledge and belief.","If any false or fraudulent statement or concealment is made, the policy shall be void and rights to recover claims 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/196-poultry-insurance-claim-form"}