{"id":216,"title":"TRADE CREDIT 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/trade-credit-insurance/claim-forms/trade-credit-insurance-claim-form-retail.pdf","sha256":"4a87fdd2babf45564978b6481338f28d010675702c3371b48ff83c3482370092","pages":7,"collected":"2026-10-16","instructions":{"about":"This form is used by the insured or claimant to file a claim under a trade credit insurance policy for losses due to non-payment by a buyer.","notes":["Please provide all requested attachments to help assess your claim.","Further documents and information may be requested.","Use the exact contract currency for amounts.","Attach confirmation of debt from an independent official source as defined in the policy."],"title":"TRADE CREDIT INSURANCE CLAIM FORM","submit":{"to":"Trade Credit Insurance Team, Generali Central Insurance Company Limited","how":"post / e-mail","address":"Unit No. 801 & 802, Tower C, 247 Embassy Park, LBS Marg, Vikhroli (West), Mumbai – 400083; E-mail: gcicare@generalicentral.com"},"purpose":"claim","sections":[{"title":"Policy","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Insured’s name as appearing on the Policy Schedule:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of claimant, if different from the Insured’s name:","options":[],"required":false,"pdf_field":""}],"filled_by":""},{"title":"Buyer","fields":[{"help":"","type":"text","label":"Full name:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Postcode:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Registered number:","options":[],"required":false,"pdf_field":""}],"filled_by":""},{"title":"Circumstances of the Loss","fields":[{"help":"Describe the circumstances and date you became aware of the potential loss","type":"text","label":"How and when did you first become aware that a Loss might occur?","options":[],"required":null,"pdf_field":""},{"help":"Date when the loss occurred","type":"date","label":"What was the Date of Loss?","options":[],"required":null,"pdf_field":""},{"help":"Describe the goods or services supplied to the buyer","type":"text","label":"What goods and/or services did you supply?","options":[],"required":null,"pdf_field":""},{"help":"Currency used in the contract","type":"text","label":"What was the Contract Currency?","options":[],"required":null,"pdf_field":""},{"help":"Total debt amount before deductions","type":"amount","label":"What is the gross amount of the debt in the Contract Currency?","options":[],"required":null,"pdf_field":""},{"help":"Net loss amount after deductions","type":"amount","label":"What is the net amount of your Loss as calculated below?","options":[],"required":null,"pdf_field":""},{"help":"Provide detailed calculation of net loss with all deductions","type":"text","label":"Contract Currency Total Value of Eligible Shipments, less: Discounts or other similar allowances and concessions Amounts which prior to the date of payment of a claim by the Insurer the Insured has received from any source whatsoever as or towards payment for the Eligible Shipments, including realisation of any security and recovered or returned goods and resale of the goods Expenses saved by the Insured by the non-payment of agent’s commissions, non-fulfilment of the Contract of Sale or otherwise Amounts which the Buyer would have been entitled to deduct by way of credit, set-off or counterclaim against the Insured Sales, value-added, or other taxes Amount in excess of the Credit Limit Net loss","options":[],"required":null,"pdf_field":""},{"help":"Select all applicable reasons for the claim","type":"checkbox","label":"What is the reason for your claim? (Please tick the applicable reason. Your Policy may cover one or more of the following causes of loss).","options":["Insolvency? If so, please provide evidence of insolvency","Default?","Transfer loss?","War?","Government Action?","Public Buyer Default?"],"required":null,"pdf_field":""},{"help":"Date when insurer was first notified","type":"date","label":"When did you first notify Markel of the Loss?","options":[],"required":null,"pdf_field":""}],"filled_by":""},{"title":"The Buyer’s Account","fields":[{"help":"Date account was opened with the buyer","type":"date","label":"When was the account first opened?","options":[],"required":null,"pdf_field":""},{"help":"Select which credit limit applies","type":"choice","label":"Is the claim against: a Credit Limit specified on a Markel International Endorsement? a written Credit Limit set by you in accordance with your Credit Management Procedures?","options":["Credit Limit specified on a Markel International Endorsement","Written Credit Limit set by you"],"required":null,"pdf_field":""},{"help":"Describe credit assessment method","type":"text","label":"How was credit-worthiness assessed (refer point 9 attachments)?","options":[],"required":null,"pdf_field":""},{"help":"Credit limit amount","type":"amount","label":"How much was the Credit Limit?","options":[],"required":null,"pdf_field":""},{"help":"List credit limit changes with dates and amounts","type":"text","label":"Please provide details of any changes & dates and amounts of changes to the Credit Limit in the 12 months before the earliest invoice now unpaid.","options":[],"required":null,"pdf_field":""},{"help":"Name or position of approver","type":"text","label":"Who approved the Credit Limit?","options":[],"required":null,"pdf_field":""},{"help":"Describe agreement date and method","type":"text","label":"When and how were the full contractual terms of payment agreed?","options":[],"required":null,"pdf_field":""},{"help":"List documents evidencing payment obligation","type":"text","label":"How was the payment obligation evidenced? e.g. invoices and contract (for open account), bills of exchange, promissory notes, letter of credit:","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was there a third-party corporate guarantee of payment?","options":[],"required":null,"pdf_field":""},{"help":"Provide details if third-party guarantee exists","type":"text","label":"If yes, please provide details including your internal risk assessment of the guarantor and authorisation documents.","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Was other security held, such as reservation of title personal guarantees, fixed charges?","options":[],"required":null,"pdf_field":""},{"help":"Describe other security held","type":"text","label":"If yes, please give details of the type of security","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Has the security been exercised?","options":[],"required":null,"pdf_field":""},{"help":"Explain why security was not exercised","type":"text","label":"If not, why?","options":[],"required":false,"pdf_field":""}],"filled_by":""},{"title":"Trading Experience with the Buyer","fields":[{"help":"Provide monthly data: Month/Year of delivery, Invoice Totals, Payments Received, Credit Notes Issued, Month-end Balance, Opening Balance","type":"table","label":"Please provide details of your monthly transactions including: (i) balances with this debtor for twelve months prior to the earliest outstanding amount, or if more recent, from the date when the account was first opened; and (ii) transactions during the period of amounts outstanding under the claim; and (iii) please detail any trading post the Date of Loss, including cash sales.","options":[],"required":null,"pdf_field":""},{"help":"List dishonoured payment instruments with details","type":"text","label":"Were any Bills of Exchange, cheques or other payment instruments dishonoured on presentation during this period? If so please provide details:","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Were any bills of exchange, cheques, or other payment instruments, not forming part of the claim, dishonoured on presentation during this period?","options":[],"required":null,"pdf_field":""},{"help":"Details of dishonoured instruments not part of claim","type":"text","label":"If yes, please provide details:","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the account rescheduled during the 12-month period prior to the Date of Loss?","options":[],"required":null,"pdf_field":""},{"help":"Details of account rescheduling","type":"text","label":"If yes, please provide details:","options":[],"required":false,"pdf_field":""}],"filled_by":""},{"title":"Collection History","fields":[{"help":"Describe initial contact details","type":"text","label":"When and how was the Buyer first contacted about the debt?","options":[],"required":null,"pdf_field":""},{"help":"Describe follow-up contact details","type":"text","label":"When and how was subsequent contact made?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the debt passed for collection to an external party?","options":[],"required":null,"pdf_field":""},{"help":"Date debt was passed to external collector","type":"date","label":"If yes, on what date was the debt passed for collection?","options":[],"required":false,"pdf_field":""},{"help":"Details of external collection agency and their actions","type":"text","label":"Please give the name, address and telephone number of the external party used and summarise the actions that they have taken:","options":[],"required":false,"pdf_field":""},{"help":"Describe enforcement actions taken on guarantees or security","type":"text","label":"If you held a third-party corporate guarantee of payment, and/or other security, please summarise the steps that you have taken to enforce them:","options":[],"required":false,"pdf_field":""}],"filled_by":""},{"title":"Outstanding Amounts","fields":[{"help":"Provide Month/Year of delivery, Due Date, Net Value, VAT or equivalent, Gross Value","type":"table","label":"Please provide a breakdown by month of all amounts making up your claim, in Contract Currency.","options":[],"required":null,"pdf_field":""}],"filled_by":""},{"title":"Confirmation of Debt","fields":[{"help":"Attach confirmation of debt from an independent official source","type":"text","label":"Please note that in order to finalise payment of your claim, we need to have confirmation of the amount of the Loss, from an independent, official source, as defined in the Policy.","options":[],"required":null,"pdf_field":""}],"filled_by":""},{"title":"Attachments","fields":[{"help":"Attach evidence if insolvency is claimed","type":"checkbox","label":"Evidence of Insolvency","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach official notice if available","type":"checkbox","label":"Official notice of the cause of Loss","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach copies of invoices or indicate if too numerous","type":"checkbox","label":"Copies of invoices","options":["Attached","Too numerous"],"required":null,"pdf_field":""},{"help":"Attach credit limit setting documents if applicable","type":"checkbox","label":"If the credit limit was not set by Markel International:- Copies of all documentation used by you to set the Credit Limit including financial information","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach internal approval document if applicable","type":"checkbox","label":"A copy of your internal written approval","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach credit limit history if applicable","type":"checkbox","label":"Copy of the Credit Limit history","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach third party guarantee if applicable","type":"checkbox","label":"A copy of a third party corporate guarantee if applicable","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach security documents if applicable","type":"checkbox","label":"If other security was held, copies of the documents","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach bills of exchange or promissory notes if used","type":"checkbox","label":"If bills of exchange or promissory notes were used, Copies of the documents","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach evidence of protest if applicable","type":"checkbox","label":"Evidence that they were protested","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach evidence of collection efforts","type":"checkbox","label":"Evidence of the actions that you took to chase the Buyer for payment","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach final statement of account","type":"checkbox","label":"A copy of the final statement of account","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach confirmation of debt","type":"checkbox","label":"Confirmation of Debt","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach correspondence with insolvency practitioner","type":"checkbox","label":"Copies of all correspondence with the insolvency Practitioner","options":["Attached","n/a"],"required":null,"pdf_field":""},{"help":"Attach any other relevant information","type":"checkbox","label":"Any additional information you deem relevant","options":["Attached","n/a"],"required":false,"pdf_field":""}],"filled_by":""},{"title":"Declaration","fields":[{"help":"Sign to confirm declaration","type":"signature","label":"I declare that the above statements made by me or on my behalf are true and complete to the best of my knowledge and belief.","options":[],"required":true,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature:","options":[],"required":true,"pdf_field":""},{"help":"Print name of person signing","type":"text","label":"Name of signatory:","options":[],"required":true,"pdf_field":""},{"help":"State your position in the company","type":"text","label":"Position in company:","options":[],"required":true,"pdf_field":""},{"help":"Company name","type":"text","label":"For and on behalf of: Company name:","options":[],"required":true,"pdf_field":""},{"help":"Company address","type":"text","label":"Address:","options":[],"required":true,"pdf_field":""},{"help":"Company postal code","type":"text","label":"Post Code:","options":[],"required":true,"pdf_field":""},{"help":"Contact phone number","type":"phone","label":"Telephone number:","options":[],"required":true,"pdf_field":""},{"help":"Contact email address","type":"email","label":"E-mail address:","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""}],"filled_by":"claimant"}],"deadlines":[],"applies_to":"Trade credit insurance claims","attachments":["Evidence of Insolvency","Official notice of the cause of Loss","Copies of invoices","Copies of all documentation used to set the Credit Limit including financial information","A copy of your internal written approval","Copy of the Credit Limit history","A copy of a third party corporate guarantee if applicable","Copies of other security documents","Copies of bills of exchange or promissory notes","Evidence that bills of exchange or promissory notes were protested","Evidence of the actions taken to chase the Buyer for payment","A copy of the final statement of account","Confirmation of Debt","Copies of all correspondence with the insolvency Practitioner","Any additional information deemed relevant"],"declarations":["The statements made are true and complete to the best of the signatory's knowledge and belief."],"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/216-trade-credit-insurance-claim-form"}