{"id":2226,"title":"PROPOSAL FORM PRODUCTS RECALL GUARANTEE AND FINANCIAL LOSS LIABILITY INSURANCE","purpose":"proposal","insurer":{"slug":"icici-lombard-general-insurance","name":"ICICI LOMBARD General Insurance Company Limited"},"source_pdf":"https://www.icicilombard.com/docs/default-source/default-document-library/26-product-recall-guarantee-and-financial-loss-liability-insurance-retail8c0007ff45fd68ff8a0df0055fa617a4.pdf","sha256":"067b37557f90c50ee2ca090c608b238499532ddbe1e1ebc6d77b8f4773cfc87b","pages":6,"collected":"2026-10-20","instructions":{"about":"This form is a proposal for Products Recall Guarantee and Financial Loss Liability Insurance to be filled by the proposed policyholder company seeking insurance coverage.","notes":["Answer all questions completely, accurately and correctly; write 'Not Applicable' if a question does not apply.","Attach additional sheets if more space is needed, indicating the question number.","Use utmost good faith in disclosing material facts.","Bank account details and a cancelled cheque are mandatory for claim processing through EFT.","The policy liability commences only after acceptance of the proposal and receipt of premium.","The statutory warning about prohibition of rebates under Section 41 of Insurance Act 1938 applies."],"title":"PROPOSAL FORM PRODUCTS RECALL GUARANTEE AND FINANCIAL LOSS LIABILITY INSURANCE","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"","type":"text","label":"Full Name of Company proposed to be insured","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Principal address","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Any subsidiaries","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Website address","options":[],"required":false,"pdf_field":""},{"help":"Provide number and locations of company operations","type":"text","label":"Please provide number and location of operations","options":[],"required":true,"pdf_field":""},{"help":"Select all that apply; specify if Other","type":"choice","label":"Please indicate: Manufacturer Wholesaler Retailer Importer Exporter Assembler Other (Please state)","options":["Manufacturer","Wholesaler","Retailer","Importer","Exporter","Assembler","Other"],"required":true,"pdf_field":""},{"help":"Postal code of principal address","type":"number","label":"Pin Code","options":[],"required":true,"pdf_field":""},{"help":"Contact mobile number","type":"phone","label":"Mobile No.","options":[],"required":true,"pdf_field":""},{"help":"Contact email address","type":"email","label":"Email id","options":[],"required":true,"pdf_field":""},{"help":"Select if you want physical policy documents","type":"choice","label":"Do you wish to avail policy documents in physical form Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Name of nominee","type":"text","label":"Nominee Name","options":[],"required":false,"pdf_field":""},{"help":"Relationship of nominee to insured","type":"text","label":"Relationship with the Insured","options":[],"required":false,"pdf_field":""},{"help":"Nominee mobile number","type":"phone","label":"Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"Nominee email address","type":"email","label":"Email ID","options":[],"required":false,"pdf_field":""},{"help":"Nominee address","type":"text","label":"Present & Permanent Address","options":[],"required":false,"pdf_field":""},{"help":"Name of authorized person if nominee is minor","type":"text","label":"Authorized person for Minor Nominee","options":[],"required":false,"pdf_field":""},{"help":"Bank details of proposer","type":"text","label":"Bank Details","options":[],"required":false,"pdf_field":""},{"help":"Provide details if any other insurance covers same risks","type":"text","label":"Details of Multiple/Other insurance covering same risks with any other Insurance Company","options":[],"required":false,"pdf_field":""}],"filled_by":"proposed policyholder"},{"title":"Products and Revenue Details","fields":[{"help":"Year for revenue data","type":"number","label":"Year","options":[],"required":true,"pdf_field":""},{"help":"Percentage split of export sales by region","type":"number","label":"%age split of Export Sale Domestic (OEMs) Export USA/Canada% Japan/Australia/Europe% Others%","options":[],"required":true,"pdf_field":""},{"help":"Confirm if revenue is total for company","type":"choice","label":"Is this the total revenue for the whole of the proposed company? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Explain if revenue is not total","type":"text","label":"If not, please explain","options":[],"required":false,"pdf_field":""},{"help":"Provide product type, use, revenue domestic (OEM), export, % USA/CANADA, total","type":"table","label":"Please indicate the approximate percentage of the overall revenue for the forthcoming year by type of Products (2016-17)","options":[],"required":true,"pdf_field":""},{"help":"List product, date of discontinuation, explanation","type":"table","label":"List any product discontinued or recalled during the last 5 years with a short explanation","options":[],"required":false,"pdf_field":""},{"help":"Indicate if you purchase materials/components","type":"choice","label":"Do you purchase materials or components from others? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if you import products/components","type":"choice","label":"Do you import products or component parts? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if you hold suppliers harmless","type":"choice","label":"Do you hold them harmless? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if suppliers hold you harmless","type":"choice","label":"Do they hold you harmless? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe product function","type":"text","label":"Please provide details of your products: Product function","options":[],"required":true,"pdf_field":""},{"help":"Where product is installed or used","type":"text","label":"Application (where installed)","options":[],"required":true,"pdf_field":""},{"help":"Provide revenue figures and territory split for past 5 years and forthcoming year","type":"table","label":"List the revenue figures for the past 5 years, as well as the estimated revenue for the forthcoming year and indicate the approximate percentage split in revenue per territory (Indicate currency)","options":[],"required":true,"pdf_field":""},{"help":"Politically Exposed Persons declaration","type":"choice","label":"Are you or any of the proposed applicants/beneficial owner a PEP or Family member/ Close relatives/Associates of PEPs? If yes, please give details (Nature of relationship and position held by PEP)","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposed policyholder"},{"title":"Batch/Contract Size and Quality Control","fields":[{"help":"Provide batch size and value details","type":"text","label":"Please detail the monetary value and number of units of your normal production run/batch for products manufactured by own staff. Detail maximum batch/run for products","options":[],"required":true,"pdf_field":""},{"help":"Provide details of three largest contracts","type":"text","label":"Please detail your three largest contracts in the last 24 months","options":[],"required":true,"pdf_field":""},{"help":"Provide average contract size","type":"text","label":"Please detail your average/normal contract size, especially if you are a ‘supplier only’","options":[],"required":true,"pdf_field":""},{"help":"State failure rates with basis","type":"text","label":"What is the failure rate of each product after handover? (Please state in each case whether this is based on actual experience.)","options":[],"required":true,"pdf_field":""},{"help":"Indicate accreditation and details if yes","type":"choice","label":"Are you accredited with any internationally recognized standards? If yes please provide details.","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if testing procedures are documented","type":"choice","label":"Are written testing procedures followed?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm presence of dedicated quality control manager","type":"choice","label":"Do you have a quality control manager responsible only to top executive/management?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if supplies/components ordered per your specs","type":"choice","label":"Supplies and components: Are they ordered to your specifications?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm identification of critical components","type":"choice","label":"Have you determined which ones are critical to the safety of your final product?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if warranties are obtained","type":"choice","label":"Are warranties obtained from all suppliers?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Percentage of components tested before use","type":"number","label":"What percentage are tested prior to incorporation?","options":[],"required":true,"pdf_field":""},{"help":"Describe final product tests","type":"text","label":"Final products: Briefly describe tests applied before sales","options":[],"required":true,"pdf_field":""},{"help":"Percentage of final products tested","type":"number","label":"What percentage are tested?","options":[],"required":true,"pdf_field":""},{"help":"Confirm if test records are maintained","type":"choice","label":"Are records of results of quality control tests kept so that you can identify at a later date what tests you applied to given products at a given time?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Number of years records are kept","type":"number","label":"How far back do your records go? (Give number of years.)","options":[],"required":false,"pdf_field":""},{"help":"Confirm if customers test products on receipt","type":"choice","label":"If your products are manufactured to the specification of your customers do they test the products upon receipt?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if customer provides acceptance sign-off","type":"choice","label":"Do you receive an acceptance sign-off from your customer?","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposed policyholder"},{"title":"Product Design","fields":[{"help":"Confirm if R&D department exists","type":"choice","label":"Do you operate a research and development department?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if design work is done in-house","type":"choice","label":"Do you do your own design work?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if design change records are kept","type":"choice","label":"Do you maintain records of design change and reasons?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if external review/testing/certification is done","type":"choice","label":"Are your designs subject to independent external review, testing or certification?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm compliance with government and industry standards","type":"choice","label":"Are your products designed, tested, labelled and manufactured to meet or exceed all government and industry standards of the territories to which you are supplying?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm safety design for misuse or abuse","type":"choice","label":"Are your products designed, tested, labelled and manufactured for optimum safety in spite of misuse or abuse?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if products are made to customer specs","type":"choice","label":"Do you manufacture any of your products to the specification of your customer?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide product life expectancy in years","type":"number","label":"What is the life expectancy of your products? (Give number of years.)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposed policyholder"},{"title":"Claims and Recall History","fields":[{"help":"Declare any known circumstances that could cause claims","type":"choice","label":"Other than any details indicated above, are you or any predecessor in business, after enquiry, aware of any circumstances which could give rise to a claim? If yes, please give full details including potential amounts involved.","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if distributor cooperation is needed for recall","type":"choice","label":"Would it be necessary for your distributors to co-operate on handing a recall?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if distributors have been briefed","type":"choice","label":"If yes, have they been briefed?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe recall initiation plans","type":"text","label":"What plans exist to initiate a recall?","options":[],"required":false,"pdf_field":""},{"help":"Confirm if announcements are prepared","type":"choice","label":"Have press or other announcements been prepared for retention on file?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Duration records are maintained","type":"text","label":"How long are records kept?","options":[],"required":true,"pdf_field":""},{"help":"Describe product traceability records","type":"text","label":"Please give details of records maintained to trace the location of products.","options":[],"required":true,"pdf_field":""},{"help":"Estimate recall cost","type":"amount","label":"What is your estimate of likely cost of a recall?","options":[],"required":true,"pdf_field":""},{"help":"Declare past claims and provide details if yes","type":"choice","label":"Have any claims been made against you or any predecessor in business in the past ten years? If yes, please provide: Recall Costs, Date of Incident(s), Cause / Defect, Remedial Action Taken","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposed policyholder"},{"title":"Insurance Requested and Bank Details","fields":[{"help":"Specify insurance limits desired","type":"text","label":"Limits desired","options":[],"required":true,"pdf_field":""},{"help":"Specify deductible amount desired","type":"text","label":"Deductible desired","options":[],"required":true,"pdf_field":""},{"help":"Name of current insurer if any","type":"text","label":"Present insurer","options":[],"required":false,"pdf_field":""},{"help":"Specify geographic coverage","type":"text","label":"Territories to be covered","options":[],"required":true,"pdf_field":""},{"help":"Declare any insurance cancellations or refusals","type":"choice","label":"Has any insurer ever cancelled, restricted or refused to renew your liability insurance? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Date insurance coverage should start","type":"date","label":"Proposed effective date for this insurance (DD/MM/YYYY)","options":[],"required":true,"pdf_field":""},{"help":"Name as per bank records for EFT","type":"text","label":"Proposed policyholder’s name (as per bank record)","options":[],"required":true,"pdf_field":""},{"help":"Bank account number for EFT","type":"text","label":"Proposed policyholder’s account no.","options":[],"required":true,"pdf_field":""},{"help":"Bank name for EFT","type":"text","label":"Name of Bank","options":[],"required":true,"pdf_field":""},{"help":"Bank branch address","type":"text","label":"Address of the bank","options":[],"required":true,"pdf_field":""},{"help":"Bank branch name","type":"text","label":"Branch","options":[],"required":true,"pdf_field":""},{"help":"9 digit MICR code","type":"number","label":"MICR Code (9 digit)","options":[],"required":true,"pdf_field":""},{"help":"PAN card number","type":"text","label":"PAN card no. of the proposed policyholder","options":[],"required":true,"pdf_field":""},{"help":"11 digit IFSC code","type":"text","label":"IFSC Code (11 digit)","options":[],"required":true,"pdf_field":""},{"help":"Provide names and positions authorized to approve recalls","type":"table","label":"Name(s) and position(s) of personnel within your organization empowered to authorize a recall","options":[],"required":true,"pdf_field":""},{"help":"Indicate if other manufacturers would initiate recall","type":"choice","label":"If any of your products are incorporated into other products, would the other manufacturer(s) initiate a recall? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide claims and complaint history","type":"text","label":"Please give full information for the last ten years regarding claims paid and outstanding and details of all complaint’s which have not yet developed into claims","options":[],"required":false,"pdf_field":""},{"help":"Name for premium refund account","type":"text","label":"Refund of Premium (Policyholder/Proposer) Account Holder Name","options":[],"required":false,"pdf_field":""},{"help":"Bank name for premium refund","type":"text","label":"Bank Name","options":[],"required":false,"pdf_field":""},{"help":"Account number for premium refund","type":"text","label":"Account No.","options":[],"required":false,"pdf_field":""},{"help":"IFSC code for premium refund","type":"text","label":"IFSC Code","options":[],"required":false,"pdf_field":""}],"filled_by":"proposed policyholder"},{"title":"Signatures and Declarations","fields":[{"help":"Name of proposer signing form","type":"text","label":"Name of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"Relationship of person signing if not proposer","type":"text","label":"Relationship with Proposer","options":[],"required":false,"pdf_field":""},{"help":"Address of witness","type":"text","label":"Address of Witness","options":[],"required":true,"pdf_field":""},{"help":"Name of witness","type":"text","label":"Name of the Witness","options":[],"required":true,"pdf_field":""},{"help":"Signature of proposer","type":"signature","label":"Signature of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Signature of witness","type":"signature","label":"Signature of Witness","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""}],"filled_by":"proposed policyholder and witness"}],"deadlines":[],"applies_to":"Products Recall Guarantee and Financial Loss Liability Insurance for retail clients","attachments":["Cancelled cheque of the proposed policyholder (should be of the bank account number mentioned below)"],"declarations":["The proposed policyholder must sign, stamp and date the proposal form.","The proposed policyholder must disclose all material facts and not suppress any material information.","The policy is on a claims made basis and applies to claims first made during the policy period.","The proposer declares the accuracy and completeness of the information provided.","Declaration when proposal is filled by a person other than the proposer or in vernacular language or if proposer is illiterate."],"dropped_labels":5},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"address","value":"ICICI Lombard General Insurance Company Limited, ICICI Lombard House, 414, Veer Savarkar Marg, Near Siddhi Vinayak Temple, Prabhadevi, Mumbai 400025","label":"Registered Office Address","level":null,"hours":"normal business hours","applies_to":"all","source_url":"https://www.icicilombard.com/docs/default-source/default-document-library/prospectus-emi-suraksha.pdf","quote":"t of policy with the term more than one year and the risk coverage for such policy years has not commenced.\n9 | P a g e ICICI Lombard General Insurance Company Limited EMI SURAKSHA IRDA Reg. No. 115 CIN: L67200MH2000PLC12940 UIN: IRDAN115RPMS0020V01202627\nMailing Address: Registered Office Address: Toll free no : 1800 2666\n13. Notices\nAny notice, direction or instruction given under th","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"address","value":"601 / 602, 6th Floor, Interface Building No. 16, New Link Road, Malad (West), Mumbai - 400 064.","label":"Office Address","level":null,"hours":null,"applies_to":"all","source_url":"https://www.icicilombard.com/docs/default-source/default-document-library/sales-literature-prospectus-tripsecure-2.pdf","quote":"064. | ICICI Lombard General Insurance\nIRDA Reg. No. 115 | Company Limited\nMailing Address: | UIN: ICITIOP27058V022627\n601 / 602, 6th Floor, Interface Building No. 16, New | CIN: L67200MH2000PLC129408\nLink Road, Malad (West), Registered Office Address:\nICICI Lombard House, 414, P Balu | SALES LITERATURE / PROSPECTUS TRIPSECURE+\nMarg","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"email","value":"customersupport@icicilombard.com","label":"E-mail","level":null,"hours":null,"applies_to":"all","source_url":"https://www.icicilombard.com/docs/default-source/default-document-library/sales-literature-prospectus-tripsecure-2.pdf","quote":"e, Prabhadevi, | Alternate No.: 86552 22666 (Chargeable)\nMumbai - 400 025. | Website | : www.iciclombard.com\nE-mail | : customersupport@icicilombard.com\nSections | Clause No | Cover Type | Cover Name | Payment Basis | Sum Insured | Deductible/ Special conditions\nTravel De","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800 2666","label":"Toll free number","level":null,"hours":"normal business hours","applies_to":"all","source_url":"https://www.icicilombard.com/docs/default-source/default-document-library/prospectus-emi-suraksha.pdf","quote":"115 CIN: L67200MH2000PLC12940 UIN: IRDAN115RPMS0020V01202627\nMailing Address: Registered Office Address: Toll free no : 1800 2666\n13. Notices\nAny notice, direction or instruction given under this Policy shall be in writing and delivered by hand, pos","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Ground floor- Interface 11, Sixth floor- Interface 16 Office no 601 & 602, New linking Road, Malad (West), Mumbai – 400064","label":"Office Address","level":null,"hours":null,"applies_to":"all","source_url":"https://www.icicilombard.com/docs/default-source/default-document-library/vibe-prospectus-(1).pdf","quote":"ombard.com Toll free number: 1800 2666 Email: customersupport@icicilombard.com ICICI Lombard General Insurance Co. Ltd. Ground floor- Interface 11, Sixth floor- Interface 16 Office no 601 & 602, New linking Road, Malad (West), Mumbai – 400064\nThere is an Interactive Voice Response (IVR) facility for senior citizens’ grievance redressal for easy and faster reso","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"customersupport@icicilombard.com","label":"Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.icicilombard.com/docs/default-source/default-document-library/prospectus-emi-suraksha.pdf","quote":"grievance the insured person may contact the Company through Website: www.icicilombard.com Toll free: 1800 2666 Email: customersupport@icicilombard.com ICICI Lombard General Insurance Co. Ltd. Ground floorInterface 11, Sixth floor- Interface 16 , Office no 601 & 602, New","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800 2666","label":"Toll free","level":null,"hours":null,"applies_to":"all","source_url":"https://www.icicilombard.com/docs/default-source/default-document-library/prospectus-emi-suraksha.pdf","quote":"115 CIN: L67200MH2000PLC12940 UIN: IRDAN115RPMS0020V01202627\nMailing Address: Registered Office Address: Toll free no : 1800 2666\n13. Notices\nAny notice, direction or instruction given under this Policy shall be in writing and delivered by hand, pos","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800 4254 732","label":"IRDA Grievance Call Centre (IGCC)","level":null,"hours":null,"applies_to":"all","source_url":"https://www.icicilombard.com/docs/default-source/default-document-library/prospectus-emi-suraksha.pdf","quote":": Toll free no : 1800 2666 https://bimabharosa.irdai.gov.in/ or IRDA Grievance Call Centre(IGCC) at their toll free no. 1800 4254 732 / 155255\nMailing Address ICICI Lombard General Insurance Company Limited, ICICI Lombard House 414, Veer Savarkar Marg,","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"url","value":"https://www.icicilombard.com/docs/defaultsource/policywordings-product-brochure/final-gro-mapping.pdf","label":"Branch details for grievance cell","level":null,"hours":null,"applies_to":"all","source_url":"https://www.icicilombard.com/docs/default-source/default-document-library/prospectus-emi-suraksha.pdf","quote":"ach the grievance cell at any of the company's branches with the details of grievance. For branch details, please visit https://www.icicilombard.com/docs/defaultsource/policywordings-product-brochure/final-gro-mapping.pdf.\n17. lf lnsured person is not satisfied with the redressal of grievance ,insured person may contact the grievance redre","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"url","value":"https://www.icicilombard.com/grievanceredressal.com","label":"Grievance redressal officer contact details","level":null,"hours":null,"applies_to":"all","source_url":"https://www.icicilombard.com/docs/default-source/default-document-library/prospectus-emi-suraksha.pdf","quote":"ach the grievance cell at any of the company's branches with the details of grievance. For branch details, please visit https://www.icicilombard.com/docs/defaultsource/policywordings-product-brochure/final-gro-mapping.pdf.\n17. lf lnsured person is not satisfied with the redressal of grievan","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"url","value":"https://www.icicilombard.com/docs/defaultsource/policy-wordings-product-brochure/final-gromapping.pdf","label":"Branch details for grievance cell","level":null,"hours":null,"applies_to":"all","source_url":"https://www.icicilombard.com/docs/default-source/default-document-library/vibe-prospectus-(1).pdf","quote":"cell at any of the company'sOur branches with the\ndetails | of | grievance. | For | branch | details, | please | visit\nhttps://www.icicilombard.com/docs/defaultsource/policy-wordings-product-brochure/final-gromapping.pdf.\nlf you are not satisfied with the redressal of grievance, You may contact the grievance officer at the details provide","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/icici-lombard-general-insurance/2226-proposal-form-products-recall-guarantee-and-financial-loss-liability-insurance"}