{"id":199,"title":"RESTRUCTURED WEATHER BASED CROP INSURANCE SCHEME POLICY CLAIM FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/restructured-weather-based-crop-insurance-scheme/claim-forms/restructured-weather-based-crop-insurance-scheme-claim-form.pdf","sha256":"3047da744277472a8de210b196cca22cef6fdadfba2b8a721669fc3f7ef92223","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for insured farmers to claim insurance under the Restructured Weather Based Crop Insurance Scheme for crop loss due to weather conditions.","notes":[],"title":"RESTRUCTURED WEATHER BASED CROP INSURANCE SCHEME POLICY CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"DETAILS OF INSURED","fields":[{"help":"","type":"text","label":"Policy No:","options":[],"required":null,"pdf_field":""},{"help":"Enter date in DD/MM/YY format","type":"date","label":"Policy Start Date: DD/MM/YY","options":[],"required":null,"pdf_field":""},{"help":"Enter date in DD/MM/YY format","type":"date","label":"Policy End Date: DD/MM/YY","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Insured ‘s Name","options":[],"required":null,"pdf_field":""},{"help":"Full postal address","type":"text","label":"Insured’s Address","options":[],"required":null,"pdf_field":""},{"help":"Provide phone number(s)","type":"phone","label":"Contact Nos.","options":[],"required":null,"pdf_field":""},{"help":"Enter the indemnity limit as per policy","type":"amount","label":"Limits of Indemnity under the Policy","options":[],"required":null,"pdf_field":""},{"help":"Date when loss occurred","type":"date","label":"Date of Loss","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Loss","fields":[{"help":"Describe the activity if not agricultural","type":"text","label":"Details of the activity carried out (applicable in case of non-agricultural economic activity):","options":[],"required":null,"pdf_field":""},{"help":"Describe the loss or damage caused by weather","type":"text","label":"Details of Loss/damage due to weather conditions:","options":[],"required":null,"pdf_field":""},{"help":"Specify the weather condition causing damage","type":"text","label":"Weather condition on account of which the damage is reported:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of the Property/ Crop covered","fields":[{"help":"Name of the insured crop","type":"text","label":"Crop Name:","options":[],"required":null,"pdf_field":""},{"help":"Area insured in hectares","type":"number","label":"Total Area under Insurance in ha:","options":[],"required":null,"pdf_field":""},{"help":"Land parcel number","type":"text","label":"Khasra Number:","options":[],"required":null,"pdf_field":""},{"help":"Name of the village","type":"text","label":"Village:","options":[],"required":null,"pdf_field":""},{"help":"Name of Gram Panchayat or Halka","type":"text","label":"Gram Panchayat / Halka Name:","options":[],"required":null,"pdf_field":""},{"help":"Name of Taluka","type":"text","label":"Taluka:","options":[],"required":null,"pdf_field":""},{"help":"Name of District","type":"text","label":"District:","options":[],"required":null,"pdf_field":""},{"help":"Amount of premium paid by farmer","type":"amount","label":"Premium Paid (farmer share) in Rs.:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Loan (In case of Loanee Farmer)","fields":[{"help":"Name of the bank providing loan","type":"text","label":"Bank Name:","options":[],"required":null,"pdf_field":""},{"help":"Branch of the bank","type":"text","label":"Branch Name:","options":[],"required":null,"pdf_field":""},{"help":"Loan account number","type":"text","label":"Loan Account Number:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declarations and Signature","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":"Sign here","type":"signature","label":"Signature of Insured","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"claims under Restructured Weather Based Crop Insurance Scheme","attachments":[],"declarations":["The statements/information given in this form are true, correct and complete.","No material information relevant to the claim has been withheld or undisclosed.","False or fraudulent information will void the policy and claim rights.","Receipt of this form does not mean claim acceptance; the company may require more information or reject the claim."],"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/199-restructured-weather-based-crop-insurance-scheme-policy-claim-form"}