{"id":2259,"title":"IndusInd Homeowners Package Insurance Policy - Claim Form","purpose":"claim","insurer":{"slug":"indusind-general-insurance","name":"IndusInd General Insurance Company Limited"},"source_pdf":"https://www.indusindinsurance.com/downloads/indusind-homeowner-package-insurance-policy-claim-form","sha256":"c9b532afcbc704e04d0f1c7604bb2aef3ff2d72b41944a7ee152e8bec8698fbf","pages":14,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to file a claim for losses covered under the IndusInd Homeowners Package Insurance Policy.","notes":["Use BLOCK LETTERS to fill the form.","Attach original or self attested copies of required documents as specified.","Attach police complaint copy where applicable; if not yet lodged, do so immediately and furnish copy to the company.","Any major repairs to damaged items are to be executed only with prior consent and approval of the company."],"title":"IndusInd Homeowners Package Insurance Policy - Claim 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":"DD/MM/YYYY","type":"date","label":"Date of Registration","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Area Office Code/Service Centre Code","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Broker/Agent Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Code","options":[],"required":null,"pdf_field":""},{"help":"Fill in block letters","type":"text","label":"Name of the Insured","options":["Mr.","Mrs.","Ms."],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Customer ID","options":[],"required":null,"pdf_field":""},{"help":"Include Plot No./Flat No., Building Name, Road, Area, City, State, Pin Code","type":"text","label":"Address of the Insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""},{"help":"Attach self attested copy of Aadhaar Card","type":"text","label":"UID Aadhar No.","options":[],"required":null,"pdf_field":""},{"help":"Attach self attested copy of PAN card or Form 60 as per IRDAI guideline","type":"text","label":"PAN No.","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Do you have a GST Registration Number","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If Yes, please specify","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Profession/Occupation","options":["Business","Profession","Salary","Agricultural Income","Savings","Others"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Monthly Income","options":["Upto ` 20,000","` 20,001 to ` 50,000","` 50,001 to ` 1,00,000","` 1,00,001 and above"],"required":null,"pdf_field":""},{"help":"Details of all policies involved in accident","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Details of all policies involved in accident","type":"text","label":"Risk Covered","options":[],"required":null,"pdf_field":""},{"help":"Details of all policies involved in accident","type":"text","label":"Location","options":[],"required":null,"pdf_field":""},{"help":"Details of all policies involved in accident","type":"amount","label":"Sum Insured (`)","options":[],"required":null,"pdf_field":""},{"help":"Details of all policies involved in accident","type":"amount","label":"Estimated amount of loss (`) (Including Add-Ons, if any)","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Period of insurance: From","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"To","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date & time of loss: Date","options":[],"required":null,"pdf_field":""},{"help":"HH/MM AM/PM","type":"text","label":"Time","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section I - Fire and Allied Perils","fields":[{"help":"Describe circumstances","type":"text","label":"Nature & cause of loss (please describe the circumstances leading to the loss)","options":[],"required":null,"pdf_field":""},{"help":"Provide other insurance details if any","type":"text","label":"Give details of insurance with any other insurance company on the risk involved in fire/accident.","options":[],"required":null,"pdf_field":""},{"help":"Explain ownership details","type":"text","label":"If insured is not the sole owner, the nature of his/their interest in the property and details of other interests.","options":[],"required":null,"pdf_field":""},{"help":"Specify if loss was reported","type":"text","label":"Whether the loss is intimated to: a) Police b) Fire Brigade","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was any claim reported in the past on the same property during current policy period?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide past claim details if any","type":"text","label":"If so, give details regarding a) Cause b) Date of accident c) Claim number d) Policy issuing office e) Amount of claim paid/outstanding","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Section II - Burglary and House Breaking Including Larceny or Theft","fields":[{"help":"Provide full address","type":"text","label":"a) State address of the premises at which the loss occurred.","options":[],"required":null,"pdf_field":""},{"help":"Describe occupancy","type":"text","label":"b) How was the said premises occupied?","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date & time of loss: Date","options":[],"required":null,"pdf_field":""},{"help":"HH/MM AM/PM","type":"text","label":"Time","options":[],"required":null,"pdf_field":""},{"help":"Provide discovery details","type":"text","label":"When was the loss discovered and by whom?","options":[],"required":null,"pdf_field":""},{"help":"Describe entry/exit","type":"text","label":"a) How was entry to/ exit from the premises effected?","options":[],"required":null,"pdf_field":""},{"help":"Specify affected area","type":"text","label":"b) Which portion of the premises was affected by the entry or exit?","options":[],"required":null,"pdf_field":""},{"help":"Describe loss details","type":"text","label":"c) Give brief details of how exactly the loss occurred. (Specify overleaf the articles stolen and property, if any, damaged).","options":[],"required":null,"pdf_field":""},{"help":"Attach copy of Police Complaint if yes","type":"yes-no","label":"Has a complaint been lodged with the police?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide police complaint details","type":"text","label":"If so, by whom and when and at which Police Station?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Were the premises occupied at the time of loss?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY HH/MM AM/PM","type":"text","label":"If not, on what date and at what hour were they last occupied?","options":[],"required":false,"pdf_field":""},{"help":"Duration of unoccupancy","type":"text","label":"For how long have the premises been unoccupied since the policy was effected or last renewed?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Is anybody suspected of theft?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide suspect details","type":"text","label":"If so, state full details.","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Is the insured the sole owner of the property which was lost or damaged?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Ownership details","type":"text","label":"If so, state full details.","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Is the insured responsible for repairs of the premises?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Repair responsibility details","type":"text","label":"If so, state full details.","options":[],"required":false,"pdf_field":""},{"help":"Provide total property value","type":"text","label":"State the total value of property inside the premises at the time of loss.","options":[],"required":null,"pdf_field":""},{"help":"Provide fire insurance details","type":"text","label":"State the amount of fire insurance cover of the property and name(s) of the Insurer(s).","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is there any other insurance against the present loss under any other policy?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Other insurance details","type":"text","label":"If so, give full particulars.","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Section III - All Risks (Jewellery and Valuables)","fields":[{"help":"Describe incident","type":"text","label":"Describe the Incident/ circumstances leading to the loss/ Cause of Loss","options":[],"required":null,"pdf_field":""},{"help":"Confirm if fire damage occurred","type":"text","label":"Please confirm whether damage caused to jewellery due to fire","options":[],"required":null,"pdf_field":""},{"help":"Confirm if natural calamity damage occurred","type":"text","label":"Please confirm whether damage caused to jewellery due to natural calamities.","options":[],"required":null,"pdf_field":""},{"help":"Confirm if theft occurred","type":"text","label":"Please confirm whether there has been theft of jewellery from home","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Has the loss been reported to an Authority","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain why not reported","type":"text","label":"If 'No' reason for not reporting","options":[],"required":false,"pdf_field":""},{"help":"Select authority","type":"choice","label":"If 'Yes', provide details","options":["Fire","Police","Municipality","Other"],"required":false,"pdf_field":""},{"help":"Name of reporting authority","type":"text","label":"Name of Authority","options":[],"required":false,"pdf_field":""},{"help":"Report number","type":"text","label":"Information Report No.","options":[],"required":false,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Was any claim reported in the past on the same property during current policy","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Past claim details","type":"text","label":"If so, give details regarding a) Cause b) Date of accident","options":[],"required":false,"pdf_field":""},{"help":"Past claim details continued","type":"text","label":"c) Claim number d) Policy issuing office e) Amount of claim paid/ outstanding","options":[],"required":false,"pdf_field":""},{"help":"Confirm valuation certificate details","type":"text","label":"Please confirm the details mentioned on Valuation Certificate","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Section IV - Domestic Mechanical & Electrical Appliances","fields":[{"help":"DD/MM/YYYY","type":"date","label":"Date & time of loss: Date","options":[],"required":null,"pdf_field":""},{"help":"HH/MM AM/PM","type":"text","label":"Time","options":[],"required":null,"pdf_field":""},{"help":"Describe equipment","type":"text","label":"a) Full description of the damaged equipment","options":[],"required":null,"pdf_field":""},{"help":"Policy schedule item number","type":"text","label":"b) Item Number in the policy schedule","options":[],"required":null,"pdf_field":""},{"help":"Value of equipment","type":"amount","label":"c) Value of the damaged equipment (attach separate sheet if required)","options":[],"required":null,"pdf_field":""},{"help":"Witness details","type":"text","label":"Name of the person(s) if any who witnessed the occurrence","options":[],"required":false,"pdf_field":""},{"help":"Describe damage","type":"text","label":"Details of damage/loss sustained","options":[],"required":null,"pdf_field":""},{"help":"Explain cause","type":"text","label":"Cause of Breakdown/loss","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"State whether item damaged was under any guarantee from supplier/manufacturer/repairer","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Guarantee details","type":"text","label":"If so, state the nature of guarantee and guarantee period","options":[],"required":false,"pdf_field":""},{"help":"Repeated question in form","type":"yes-no","label":"State whether item damaged was under any guarantee from supplier/manufacturer/repairer","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Repair details","type":"text","label":"If so, give particulars with details of repairs executed?","options":[],"required":false,"pdf_field":""},{"help":"Usage details","type":"text","label":"For what purpose was the equipment being used at the time of breakdown /loss","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Have the repairers/engineers commenced repairs?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Repairer details","type":"text","label":"If so, Give the name and address of the repairers/engineers","options":[],"required":false,"pdf_field":""},{"help":"Repair details","type":"text","label":"a) State nature of repairs and particulars of replacement of parts required","options":[],"required":false,"pdf_field":""},{"help":"Cost estimate","type":"amount","label":"b) Estimate of the cost of repairs / replacement (Any major repairs are to be executed only with prior consent and approval of the company)","options":[],"required":false,"pdf_field":""},{"help":"Salvage value","type":"text","label":"State salvage value on the damaged items","options":[],"required":false,"pdf_field":""},{"help":"Inspection location","type":"text","label":"Where can the damaged items be inspected?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Is there any other insurance effected by you or any other person covering the loss sustained or any part thereof?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Additional details","type":"text","label":"Please give any other particulars relevant to the damage","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Section V - Domestic Electronic Appliances","fields":[{"help":"DD/MM/YYYY","type":"date","label":"Date & time of loss: Date","options":[],"required":null,"pdf_field":""},{"help":"HH/MM AM/PM","type":"text","label":"Time","options":[],"required":null,"pdf_field":""},{"help":"Describe equipment","type":"text","label":"a) Full description of the damaged equipment","options":[],"required":null,"pdf_field":""},{"help":"Policy schedule item number","type":"text","label":"b) Item Number in the policy schedule","options":[],"required":null,"pdf_field":""},{"help":"Value of equipment","type":"amount","label":"c) Value of the damaged equipment (attach separate sheet if required)","options":[],"required":null,"pdf_field":""},{"help":"Witness details","type":"text","label":"Name of the person(s) if any who witnessed the occurrence","options":[],"required":false,"pdf_field":""},{"help":"Describe damage","type":"text","label":"Details of damage/loss sustained","options":[],"required":null,"pdf_field":""},{"help":"Explain cause","type":"text","label":"Cause of Breakdown/loss","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"State whether item damaged was under any guarantee from supplier/manufacturer/repairer","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Guarantee details","type":"text","label":"If so, state the nature of guarantee and guarantee period","options":[],"required":false,"pdf_field":""},{"help":"Repeated question in form","type":"yes-no","label":"State whether item damaged was under any guarantee from supplier/manufacturer/repairer","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Repair details","type":"text","label":"If so, give particulars with details of repairs executed?","options":[],"required":false,"pdf_field":""},{"help":"Usage details","type":"text","label":"For what purpose was the equipment being used at the time of breakdown /loss","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Have the repairers/engineers commenced repairs?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Repairer details","type":"text","label":"If so, Give the name and address of the repairers/engineers","options":[],"required":false,"pdf_field":""},{"help":"Repair details","type":"text","label":"a) State nature of repairs and particulars of replacement of parts required","options":[],"required":false,"pdf_field":""},{"help":"Cost estimate","type":"amount","label":"b) Estimate of the cost of repairs / replacement (Any major repairs are to be executed only with prior consent and approval of the company)","options":[],"required":false,"pdf_field":""},{"help":"Salvage value","type":"text","label":"State salvage value on the damaged items","options":[],"required":false,"pdf_field":""},{"help":"Inspection location","type":"text","label":"Where can the damaged items be inspected?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Is there any other insurance effected by you or any other person covering the loss sustained or any part thereof?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Additional details","type":"text","label":"Please give any other particulars relevant to the damage","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Section VI - Television Set","fields":[{"help":"Describe circumstances","type":"text","label":"Nature & cause of loss (please describe the circumstances leading to the loss)","options":[],"required":null,"pdf_field":""},{"help":"Other insurance details","type":"text","label":"Give details of insurance with any other insurance company on the risk involved in fire/accident.","options":[],"required":null,"pdf_field":""},{"help":"Ownership details","type":"text","label":"If insured is not the sole owner, the nature of his/their interest in the property and details of other interests.","options":[],"required":null,"pdf_field":""},{"help":"Specify if loss was reported","type":"text","label":"Whether the loss is intimated to: a) Police b) Fire Brigade","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was any claim reported in the past on the same property during current policy period?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Past claim details","type":"text","label":"If so, give details regarding a) Cause b) Date of accident c) Claim number d) Policy issuing office e) Amount of claim paid/outstanding","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Section VII - Fixed Plate Glass","fields":[{"help":"Provide address and position","type":"text","label":"Address where glass was situated (Please state the precise position of the glass)","options":[],"required":null,"pdf_field":""},{"help":"Provide size","type":"text","label":"Size of the plate broken","options":[],"required":null,"pdf_field":""},{"help":"Explain cause","type":"text","label":"Cause of breakage","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date of breakage","options":[],"required":null,"pdf_field":""},{"help":"HH/MM AM/PM","type":"text","label":"Time of breakage","options":[],"required":null,"pdf_field":""},{"help":"Provide details if applicable","type":"text","label":"Name and address of the person responsible for breakage, if any","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Was he in any way employed by the insured?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section VIII - Baggage","fields":[{"help":"DD/MM/YYYY","type":"date","label":"a) Date of occurrence of loss","options":[],"required":null,"pdf_field":""},{"help":"HH/MM AM/PM","type":"text","label":"Time","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"b) Date of discovery of loss","options":[],"required":null,"pdf_field":""},{"help":"Location of loss","type":"text","label":"c) Where did the loss occur?","options":[],"required":null,"pdf_field":""},{"help":"Reporter details","type":"text","label":"d) By whom was the loss reported? (A copy of written statement to be attached)","options":[],"required":null,"pdf_field":""},{"help":"Describe circumstances","type":"text","label":"Brief details as to the exact circumstances under which the loss occurred","options":[],"required":null,"pdf_field":""},{"help":"Attach copy of Police Complaint if yes","type":"yes-no","label":"Has a complaint been lodged with the police?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Police complaint details","type":"text","label":"If so, by whom and when and at which Police Station?","options":[],"required":false,"pdf_field":""},{"help":"Attach copy of complaint if yes","type":"yes-no","label":"Has a complaint been lodged with Railways, shipping company, Airline, Roadways, hotel proprietors or the authority in whose care the baggage was at the time of loss or damage?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Recovery efforts","type":"text","label":"What steps have been taken to recover lost money?","options":[],"required":false,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"In case of organisations covering their employees:- a) When did the employee concerned enter your service?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"b) Was he involved in a similar loss before?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Have you ever before sustained a loss of this nature?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Previous loss details","type":"text","label":"If so, give particulars.","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Are there any other insurance upon the same articles?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Other insurance details","type":"text","label":"If so, give details.","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Section IX - Pedal Cycle","fields":[{"help":"Describe incident","type":"text","label":"Describe the Incident/ circumstances leading to the loss/ Cause of Loss","options":[],"required":null,"pdf_field":""},{"help":"Describe bicycle","type":"text","label":"Please confirm description of Bicycle","options":[],"required":null,"pdf_field":""},{"help":"Confirm theft","type":"text","label":"Please confirm if loss occurred due to theft of Bicycle","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Has the loss been reported to an Authority","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain why not reported","type":"text","label":"If 'No' reason for not reporting","options":[],"required":false,"pdf_field":""},{"help":"Select authority","type":"choice","label":"If 'Yes', provide details","options":["Fire","Police","Municipality","Other"],"required":false,"pdf_field":""},{"help":"Name of reporting authority","type":"text","label":"Name of Authority","options":[],"required":false,"pdf_field":""},{"help":"Report number","type":"text","label":"Information Report No.","options":[],"required":false,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Was any claim reported in the past on the same property during current policy period?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Past claim details","type":"text","label":"If so, give details regarding a) Cause b) Date of accident c) Claim number d) Policy issuing office e) Amount of claim paid/ outstanding","options":[],"required":false,"pdf_field":""},{"help":"Negligent party details","type":"text","label":"If caused by negligence of another party, give name and address:","options":[],"required":false,"pdf_field":""},{"help":"Describe damage","type":"text","label":"Nature of damage done to cycle","options":[],"required":false,"pdf_field":""},{"help":"Repairer details","type":"text","label":"Name and address of cycle repairers who has cycle in hand to repair:","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Section X - Personal Accident","fields":[{"help":"Name of injured or deceased","type":"text","label":"a) Name of the Insured Person dead/injured in the accident","options":[],"required":null,"pdf_field":""},{"help":"Relationship to insured","type":"text","label":"b) Relationship with the employee/member","options":[],"required":null,"pdf_field":""},{"help":"Identification number","type":"text","label":"c) *Employee/member identification no. Self/Spouse/Children","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"a) Date of accident:","options":[],"required":null,"pdf_field":""},{"help":"HH/MM AM/PM","type":"text","label":"b) Time of accident:","options":[],"required":null,"pdf_field":""},{"help":"Location","type":"text","label":"c) Place of accident:","options":[],"required":null,"pdf_field":""},{"help":"Witness details","type":"text","label":"d) Name & address of the witness:","options":[],"required":false,"pdf_field":""},{"help":"Describe accident","type":"text","label":"Particulars of the accident:","options":[],"required":null,"pdf_field":""},{"help":"Describe injury","type":"text","label":"Nature of injury received (if to limb or eye state whether right or left)","options":[],"required":null,"pdf_field":""},{"help":"Describe disablement","type":"text","label":"a) Nature of disablement","options":[],"required":null,"pdf_field":""},{"help":"Extent details","type":"text","label":"b) Extent of disablement","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"c) Period of temporary total disablement From","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"To","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":["Please return the form completed within Fourteen days of the loss together with the relevant vouchers, documents etc."],"applies_to":"Homeowners Package Insurance Policy claims for various types of losses including fire, burglary, all risks, domestic appliances, television, fixed plate glass, baggage, pedal cycle, and personal accident.","attachments":["Self attested copy of PAN card/Form 60 & Aadhaar Card","Copy of the Police Complaint (where applicable)","Copy of complaint lodged with Railways, shipping company, Airline, Roadways, hotel proprietors or the authority in whose care the baggage was at the time of loss or damage (where applicable)"],"declarations":[],"dropped_labels":1},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"services@indusindinsurance.com","label":"Health Insurance Claims Email","level":1,"hours":null,"applies_to":"health","source_url":"https://www.indusindinsurance.com/health-insurance-claims","quote":"nce Claim\nTravel Insurance Claim\nCommercial Insurance Claim\nSupport\nSign In\nSelf Help\nVideo Chat\nContact Us\nEmail us at\nservices@indusindinsurance.com\ngrievances@indusindinsurance.com\ncareers@indusindinsurance.com\nCall us at\n+91 22 48903009 (Paid Number)\n+91 22 65934185","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"indusind@europ-assistance.in","label":"Travel Insurance Claims Email","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"91-22-67347844\nInternational Travel (while in India):\n1800 209 5522\nWhatsApp:\n7400422200 for Inland Travel Claim\nEmail:\nindusind@europ-assistance.in\nMobile Application:\nIndusInd Insurance App\nWebsite:\nOnline Claim Intimation\nOffline Visit:\nLocate your nearest branch\nh","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"+91 22 48903009","label":"Car Insurance Claim Intimation","level":null,"hours":null,"applies_to":"motor","source_url":"https://www.indusindinsurance.com/car-insurance-claim","quote":"Us\nEmail us at\nservices@indusindinsurance.com\ngrievances@indusindinsurance.com\ncareers@indusindinsurance.com\nCall us at\n+91 22 48903009 (Paid Number)\n+91 22 65934185 (Senior Citizen)\n+91 7400422200 (WhatsApp)\n+91 22 48903051 (Become our Partner)\nVisit us:","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 65934189","label":"Motor Claims Helpline","level":null,"hours":null,"applies_to":"motor","source_url":"https://www.indusindinsurance.com/car-insurance-claim","quote":"ation.\nNeed Guidance on Car Coverage?\nTalk to Our Professional Advisors\nCall Us\nCall Us!!\nHealth -\n022 65934188\nMotor -\n022 65934189\nTravel -\n022 65934184\nSteps to Take After a Car ​Accident\nThe following steps can expedite the road accident insurance","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 65934188","label":"Health Claims Helpline","level":null,"hours":null,"applies_to":"health","source_url":"https://www.indusindinsurance.com/health-insurance-claims","quote":"your nearest location.\nExpert health advice you can trust\nGet in touch with our team today!\nCall Us\nCall Us!!\nHealth -\n022 65934188\nMotor -\n022 65934189\nTravel -\n022 65934184\nCommon Reasons for Health Insurance Claim Rejection\nIncomplete Documentation","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 65934184","label":"Travel Claims Helpline","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/health-insurance-claims","quote":"e you can trust\nGet in touch with our team today!\nCall Us\nCall Us!!\nHealth -\n022 65934188\nMotor -\n022 65934189\nTravel -\n022 65934184\nCommon Reasons for Health Insurance Claim Rejection\nIncomplete Documentation\nYour claim gets rejected when you don't gi","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"+912248903009","label":"Inland Travel Helpline","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"rds your registered bank account.\nHow to Contact Us For Travel Insurance Claim?\nContact Details\nInland Travel Helpline:\n+912248903009\nInternational Travel (while abroad):\n91-22-67347843/ 91-22-67347844\nInternational Travel (while in India):\n1800 209 552","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"91-22-67347843","label":"International Travel Helpline (abroad)","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"For Travel Insurance Claim?\nContact Details\nInland Travel Helpline:\n+912248903009\nInternational Travel (while abroad):\n91-22-67347843/ 91-22-67347844\nInternational Travel (while in India):\n1800 209 5522\nWhatsApp:\n7400422200 for Inland Travel Claim\nEmail","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 209 5522","label":"International Travel Helpline (in India)","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"912248903009\nInternational Travel (while abroad):\n91-22-67347843/ 91-22-67347844\nInternational Travel (while in India):\n1800 209 5522\nWhatsApp:\n7400422200 for Inland Travel Claim\nEmail:\nindusind@europ-assistance.in\nMobile Application:\nIndusInd Insurance","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/indusind-general-insurance/2259-indusind-homeowners-package-insurance-policy-claim-form"}