{"id":212,"title":"ERECTION ALL RISK INSURANCE CLAIMS FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/commercial-insurance/erection-all-risk-insurance/claim-forms/erection-all-risk-insurance-commercial-claim-form.pdf","sha256":"a7d8c6d19ba2dfcdc03259adbf60977cd10deaf1b8c1af59927ce90ca2f1b569","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is for the insured to claim under the Erection All Risk Insurance policy by providing details of the accident, damage, and repairs.","notes":["The claim form must be duly filled and signed by the insured.","All facts and statements must be factual and unbiased.","Claim cheque will be dispatched to the address mentioned in the form and updated in the policy."],"title":"ERECTION ALL RISK INSURANCE CLAIMS FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured Details","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim Number","options":[],"required":null,"pdf_field":""},{"help":"Full name of the insured proposer","type":"text","label":"Name of the Proposer (in full):","options":[],"required":null,"pdf_field":""},{"help":"Full postal address where claim cheque will be sent","type":"text","label":"Address of the Proposer:","options":[],"required":null,"pdf_field":""},{"help":"State of the proposer's address","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Postal pin code","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number (optional)","type":"phone","label":"Landline","options":[],"required":false,"pdf_field":""},{"help":"Email address (optional)","type":"email","label":"Email","options":[],"required":false,"pdf_field":""},{"help":"Name of bank for claim payment","type":"text","label":"Bank Details: Bank Name","options":[],"required":null,"pdf_field":""},{"help":"Bank branch name","type":"text","label":"Branch","options":[],"required":null,"pdf_field":""},{"help":"Type of bank account","type":"text","label":"Type of A/c","options":[],"required":null,"pdf_field":""},{"help":"Bank account number","type":"text","label":"A/c no","options":[],"required":null,"pdf_field":""},{"help":"PAN number of the proposer","type":"text","label":"Pan No","options":[],"required":null,"pdf_field":""},{"help":"Bank IFSC code","type":"text","label":"IFSC Code","options":[],"required":null,"pdf_field":""},{"help":"Bank MICR code (optional)","type":"text","label":"MICR code","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Accident","fields":[{"help":"Date and time when the damage occurred (DD/MM/YYYY and HH:MM AM/PM)","type":"date","label":"Date and time of occurrence:","options":[],"required":null,"pdf_field":""},{"help":"Location of the risk site where damage happened","type":"text","label":"State risk site where the damage occurred","options":[],"required":null,"pdf_field":""},{"help":"Brief description of damage to insured property","type":"text","label":"Please provide brief details of damage to : a. Insured Property","options":[],"required":null,"pdf_field":""},{"help":"Cause or reason for the loss or damage","type":"text","label":"Please provide cause of loss/ damage","options":[],"required":null,"pdf_field":""},{"help":"Indicate if a third party caused the damage","type":"yes-no","label":"Is any third party responsible for the damage?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Details of third party responsible if applicable","type":"text","label":"If YES, please state details","options":[],"required":false,"pdf_field":""},{"help":"Indicate if police or fire brigade were informed","type":"yes-no","label":"Were the Police authorities or Fire Brigade informed?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Details of police or fire brigade report if applicable","type":"text","label":"If YES, please provide details","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Damage","fields":[{"help":"Indicate if the property was under testing when damaged","type":"yes-no","label":"Whether property affected was undergoing testing?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Description of repair method","type":"text","label":"How will the damage be repaired??","options":[],"required":null,"pdf_field":""},{"help":"Details of parts to be replaced; attach extra sheet if needed","type":"text","label":"Please state the details of the part (s) to be replaced (Please attach separate sheet)","options":[],"required":false,"pdf_field":""},{"help":"Estimated repair cost with parts and labour breakup","type":"text","label":"Please provide estimated cost of repairs, pls. provide breakup of cost (parts & labour)","options":[],"required":null,"pdf_field":""},{"help":"Description of damage occurrence; attach sketches and photos","type":"text","label":"How did the damage occur(please attach Sketches & photographs","options":[],"required":false,"pdf_field":""},{"help":"Indicate if repairs were done in house","type":"yes-no","label":"Please provide details of repairs: a. Carried out in house","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Details of any manufacturer warranty or guarantee","type":"text","label":"Please give details of Manufacturers Warranty/ Guarantee","options":[],"required":false,"pdf_field":""},{"help":"Details if loss/damage covered under other policy sections","type":"text","label":"Details of loss or damage under other section (s) of the policy","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Miscellaneous Details","fields":[{"help":"Details of any other insurance covering this loss","type":"text","label":"Give details of other Insurance, if any, covering the present loss","options":[],"required":false,"pdf_field":""},{"help":"Details of previous claims on this project","type":"text","label":"Give details of previous Claims, if any, on the project","options":[],"required":false,"pdf_field":""},{"help":"Indicate if you want to reinstate the policy","type":"yes-no","label":"Do you wish to reinstate the Policy?","options":["YES","NO"],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declarations and Signature","fields":[{"help":"Date of signing the form","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Place of signing the form","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Signature of the insured claimant","type":"signature","label":"Signature Of Insured","options":[],"required":true,"pdf_field":""},{"help":"Name of the insured or claimant signing","type":"text","label":"Name of Insured/Claimant","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Erection All Risk Insurance claims","attachments":["Separate sheet for details of parts to be replaced","Sketches and photographs of damage"],"declarations":["The insured agrees to provide any additional information if required.","The insured warrants the truth of all statements and documents to the best of their knowledge.","If any false or fraudulent statement or concealment of material fact is made, the claim will be forfeited and the policy void without refund."],"dropped_labels":3},"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/212-erection-all-risk-insurance-claims-form"}