{"id":206,"title":"WARRANTY 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/warranty-insurance/claim-forms/warranty-insurance-claim-form-retail.pdf","sha256":"5274f07c61b4ecec770eacf06541d02fcab399dd59f3536995010b7b793bccac","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for the insured person to claim warranty insurance for a product that has a component loss or damage.","notes":[],"title":"WARRANTY INSURANCE CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Claim Details","fields":[{"help":"","type":"text","label":"Name of Insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy number","options":[],"required":null,"pdf_field":""},{"help":"Enter start and end dates of the policy period","type":"date","label":"Policy Period to","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Correspondence Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Product Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Model No","options":[],"required":null,"pdf_field":""},{"help":"Attach a list of parts/components and their amounts if extensive","type":"text","label":"Component loss/damaged (Please attach list of the parts/components along with amount)","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Claimed Amount","options":[],"required":null,"pdf_field":""},{"help":"Attach annexure if multiple dates","type":"date","label":"Date of Purchase of Product (In case of an extensive list, please attach as annexure)","options":[],"required":null,"pdf_field":""},{"help":"Attach annexure if multiple warranty periods","type":"text","label":"Manufacturer’s Warranty Period (In case of an extensive list, please attach as annexure)","options":[],"required":null,"pdf_field":""},{"help":"Attach annexure if multiple dates","type":"date","label":"Trouble was first noticed on (In case of an extensive list, please attach as annexure)","options":[],"required":null,"pdf_field":""},{"help":"Attach annexure if extensive description","type":"text","label":"Trouble description (In case of an extensive list, please attach as annexure)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","fields":[{"help":"","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"","type":"signature","label":"Signature of Insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"For company use","type":"signature","label":"Company Seal","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"warranty insurance claims","attachments":["list of the parts/components along with amount","annexure for extensive list of Date of Purchase of Product","annexure for extensive list of Manufacturer’s Warranty Period","annexure for extensive list of Trouble was first noticed on","annexure for extensive Trouble description"],"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 shall be 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/206-warranty-insurance-claim-form"}