{"id":205,"title":"STANDARD FIRE & SPECIAL PERIL 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/standard-fire-special-perils-policy/claim-forms/standard-fire-and-special-perils-claim-form-retail.pdf","sha256":"0ef769ce5ee025df09bd8287683c2c0b29bb577be3b508ef3cfc3620fd8cf241","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is for notifying and claiming physical loss or damage under the Standard Fire & Special Peril Policy. It is filled by the insured or claimant.","notes":["The issue of this form is not to be taken as an admission of liability.","All claims must be based on actual value of goods at time of fire, excluding any profit.","Use original bills and documents as required.","Provide full and accurate information to avoid delays or rejection."],"title":"STANDARD FIRE & SPECIAL PERIL POLICY 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 for correspondence","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Contact Number.","options":[],"required":null,"pdf_field":""},{"help":"Provide details of any mortgagee or other financial interest holders","type":"text","label":"Name and Address of Mortgagee(s) or other persons having financial interest in the property.","options":[],"required":null,"pdf_field":""},{"help":"Policy number under which claim is made","type":"text","label":"Policy no.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"DETAILS OF OTHER INSURANCE","fields":[{"help":"If insured with other companies, provide their names","type":"text","label":"Name of Insurer","options":[],"required":null,"pdf_field":""},{"help":"Policy numbers of other insurances","type":"text","label":"Policy No. (s).","options":[],"required":null,"pdf_field":""},{"help":"Sum insured under other policies","type":"amount","label":"Sum Insured Rs.","options":[],"required":null,"pdf_field":""},{"help":"Start date of other insurance policy","type":"date","label":"Period From","options":[],"required":null,"pdf_field":""},{"help":"End date of other insurance policy","type":"date","label":"To","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"DETAILS OF LOSS","fields":[{"help":"Specify exact time and date when loss occurred","type":"date","label":"Time & Date of Fire / Loss","options":[],"required":null,"pdf_field":""},{"help":"Describe cause of fire or loss","type":"text","label":"Cause of Fire / Loss","options":[],"required":null,"pdf_field":""},{"help":"Describe the affected insured items","type":"text","label":"Item of Policy affected (give description)","options":[],"required":null,"pdf_field":""},{"help":"State the use or occupation of the premises when loss occurred","type":"text","label":"Occupation of the premises at the time of Fire / Loss","options":[],"required":null,"pdf_field":""},{"help":"Indicate if fire brigade was informed; if no, explain why","type":"yes-no","label":"Has the Fire / Loss been reported to Fire Brigade? (If not, give reasons)","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate if police was informed; if no, explain why","type":"yes-no","label":"Has the Fire / Loss been reported to Police? (If not, give reasons)","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"INSPECTION AND LOSS DETAILS","fields":[{"help":"Provide location for inspection of loss","type":"text","label":"Address where the loss can be inspected.","options":[],"required":null,"pdf_field":""},{"help":"Describe the extent of loss in detail","type":"text","label":"Extent of Loss (as more particularly described in the statement overleaf)","options":[],"required":null,"pdf_field":""},{"help":"Provide any other relevant information","type":"text","label":"Any additional information relevant to processing of Claim.","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"DETAILS OF CLAIM FOR PROPERTY DESTROYED OR DAMAGED","fields":[{"help":"Policy item number of the affected property","type":"text","label":"Item No. of Policy","options":[],"required":null,"pdf_field":""},{"help":"Describe the property damaged or destroyed","type":"text","label":"Description of affected Property","options":[],"required":null,"pdf_field":""},{"help":"Value of property at time of fire","type":"amount","label":"Value at the time of Fire Rs.","options":[],"required":null,"pdf_field":""},{"help":"Value of salvage deducted from claim","type":"amount","label":"Deduction for Value of Salvage Rs.","options":[],"required":null,"pdf_field":""},{"help":"Net claim amount after deductions","type":"amount","label":"Net Amount Claimed Rs.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"DECLARATION 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 the form","type":"signature","label":"Signature of the Claimant","options":[],"required":true,"pdf_field":""}],"filled_by":"claimant"}],"deadlines":[],"applies_to":"Standard Fire & Special Peril Policy claims","attachments":["Copies of other insurance policies if insurance is effected with other companies"],"declarations":["The statements/information given in this claim form are true, correct and complete.","All persons having an interest in the property are disclosed as per the proposal or policy endorsement.","No similar claim has been made with any other insurance company except as disclosed.","No material information relevant to the claim has been withheld or concealed.","False or fraudulent statements will void the policy and claims rights.","Receipt of this form does not constitute admission of liability and the company may require further information.","Consent is given to verify identity/address proof through Central KYC Registry, UIDAI or other modes for KYC purposes."],"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/205-standard-fire-and-special-peril-policy-claim-form"}