{"id":226,"title":"FARMER'S PACKAGE POLICY-GRIHA CLAIM FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/rural-insurance/farmers-package-policy-griha/claim-forms/farmers-package-policy-griha-retail-claim-form.pdf","sha256":"61b8577f25cf2cbcac39a0035946cf2bb33ff901495c57121a71a3693b488d2b","pages":6,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured or claimant to file a claim under the Farmer's Package Policy-Griha for various covered losses or damages.","notes":["Attach photographs of loss or physical damage wherever possible.","Legal Heir Certificate is mandatory if nominee details are not available in policy.","Attach copy of other insurance policy if loss is covered elsewhere.","Use original doctor's certificates for Personal Accident claims.","Attach FIR copy if lodged for applicable claims.","This form is to be filled by the insured or claimant."],"title":"FARMER'S PACKAGE POLICY-GRIHA CLAIM FORM","submit":{"to":"Generali Central Insurance Company Limited","how":"","address":"Unit No. 801 & 802, 8th Floor, Tower C, Embassy 247 Park, LBS Marg, Vikhroli (West), Mumbai – 400083\nEmail ID: gcicare@generalicentral.com\nToll-free Phone: 1800 220 233 / 1860 500 3333 / 022 6783 7800"},"purpose":"claim","sections":[{"title":"Policy and Claim Details","fields":[{"help":"","type":"text","label":"Agent/Broker","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy Number","options":[],"required":true,"pdf_field":""},{"help":"Enter the insurance coverage period","type":"text","label":"Period of Insurance","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Insured (in whose name the policy is issued) & Contact Details","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Phone","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Fax","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"E-mail","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Street and House No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Postal Code and Location","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name of the claimant person (in respect of whom the claim is made)","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Relationship to the Insured","options":[],"required":true,"pdf_field":""},{"help":"Enter age in years","type":"number","label":"Present completed age","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Occupation","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Residential Address","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Pin code","options":[],"required":true,"pdf_field":""},{"help":"Include date, time and place of loss","type":"text","label":"Date, Time and location of loss","options":[],"required":true,"pdf_field":""},{"help":"Select all applicable covers","type":"choice","label":"Cover under which claim is made","options":["Building and Contents","Robbery and Burglary","Farm Produce","Agricultural Pump set","Poultry","Cart Protection & Liability","Tractors","Pedal Cycle","Personal Accident","Baggage"],"required":true,"pdf_field":""},{"help":"Describe the cause and circumstances of loss","type":"text","label":"Cause of Loss: Please give a full description of the event, the time, date, other parties involved, and any other relevant details","options":[],"required":true,"pdf_field":""}],"filled_by":"claimant or insured"},{"title":"Building and Contents Details","fields":[{"help":"Specify date and time (am/pm)","type":"date","label":"Date of loss & Time of Loss","options":[],"required":true,"pdf_field":""},{"help":"Describe loss circumstances and building details","type":"text","label":"Description the circumstances of Loss, how it happened, and what Caused Loss/Damage and details of the building","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Loss Location Address","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Pin code","options":[],"required":true,"pdf_field":""},{"help":"Name, relationship, phone number","type":"text","label":"Contact Details of person/s at Loss location","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Phone No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"Email Id","options":[],"required":false,"pdf_field":""},{"help":"List contents lost or damaged","type":"text","label":"Description of the Contents","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Nature of loss/ cause of loss","options":[],"required":false,"pdf_field":""},{"help":"If nominee declared at proposal, no change allowed; else attach Legal Heir Certificate","type":"text","label":"In Case of Death : Please provide following details: Name of Nominee","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Nominee’s Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"E Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Provide estimated amount of loss","type":"amount","label":"Your estimate of loss/ damage caused","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Witness Details: Were there any witnesses to the loss/accident? Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"If Yes, Name as Person/s","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Pin code","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Contact Details: Phone No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"Email Id","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Information to Authority: Has the Loss been reported to an Authority? Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"If No, Reason for not reporting","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"If Yes, Provide details: Fire/Police/Municipality/Other","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name of Authority","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Information report No./Authority reference no.","options":[],"required":false,"pdf_field":""},{"help":"","type":"date","label":"Date","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Contact Person/s","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Pin code","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Contact Details: Phone No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"Email Id","options":[],"required":false,"pdf_field":""}],"filled_by":"claimant or insured"},{"title":"Other Insurance and Interest Details","fields":[{"help":"","type":"yes-no","label":"DETAILS OF OTHER INSURANCE: Is the loss / damage covered under any other insurance? Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Attach copy of other insurance policy","type":"text","label":"If Yes, specify details and attach a copy of the policy","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name of Insurer","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Pin code","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Contact Details: Phone No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"Email Id","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Policy No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"date","label":"Period of Insurance From","options":[],"required":false,"pdf_field":""},{"help":"","type":"date","label":"To","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Sum Insured (rs.)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"DETAILS OF OTHERS INTEREST: Name of Insurer","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Is the Insured the Sole Owner of the property? Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"If No, please specify Nature of Interest","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Person/s who has/have Interest on property","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Pin code","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Contact Details: Phone No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"Email Id","options":[],"required":false,"pdf_field":""}],"filled_by":"claimant or insured"},{"title":"Claim Details for Specific Covers","fields":[{"help":"","type":"text","label":"Nature/Cause of loss","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Description of loss or damage including damage caused to locks if any","options":[],"required":false,"pdf_field":""},{"help":"Yes/No and case number if applicable","type":"text","label":"Was the loss reported to the Police? If Yes, Case No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Has the perpetrator been apprehended by the Police?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Where was the item lost located before such loss occurred?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the time left unattended?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"If yes, was the same locked or secured, as the case may be?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Answer the following: location of farm produce at loss, nature/cause of loss, presence of ignitable substances, preventive measures, salvage details","type":"text","label":"Farm Produce","options":[],"required":false,"pdf_field":""},{"help":"Provide year, make, manufacturer, nature/cause of loss, fuel type, location and use, condition, age","type":"text","label":"Agricultural Pump Set","options":[],"required":false,"pdf_field":""},{"help":"Provide number dead, cause, ownership, policy item no, environment arrangements, epidemic steps, veterinary details, stock records","type":"text","label":"Poultry","options":[],"required":false,"pdf_field":""},{"help":"Provide details on damage to cart, animal death/PTD, driver injury, third party injury, medical treatment and attempts to minimize loss","type":"text","label":"Cart Protection & Liability","options":[],"required":false,"pdf_field":""},{"help":"Provide year, make, model, loss details, usage, salvage, FIR copy if lodged","type":"text","label":"Tractors","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the pedal cycle stolen or has there been loss of the accessories?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Was the loss reported to the Police? If yes, Case no.","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Has the perpetrator caught by the Police?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Where has been the pedal cycle located before the loss occurred?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the pedal cycle unattended while it was lost?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the same securely fastened and/or locked while it was unattended?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Have you been given notice of any claim or proceeding in regard to accidental death or bodily injury and accidental damage to property arising out of or connected with the pedal cycle?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe the loss and provide medical advice or treatment details and doctor's certificates if possible","type":"text","label":"Personal Accident","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Where and how did the loss occur?","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Was the loss reported to the Police? Yes, Case No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Has the perpetrator been caught by the Police?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Where was the baggage located before the loss occurred?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the baggage securely locked?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Do you have any other insurance that may extend to cover your loss? If so, please provide details of the policy and the Insurer.","options":[],"required":false,"pdf_field":""}],"filled_by":"claimant or insured"},{"title":"Declaration and Signature","fields":[{"help":"Sign to declare truthfulness of statements","type":"signature","label":"Signature of the Insured","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Occupation","options":[],"required":false,"pdf_field":""},{"help":"","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":false,"pdf_field":""},{"help":"Name or signature of witness","type":"text","label":"Witness","options":[],"required":false,"pdf_field":""}],"filled_by":"insured or claimant"}],"deadlines":[],"applies_to":"claims under Farmer's Package Policy-Griha for Building and Contents, Robbery and Burglary, Farm Produce, Agricultural Pump set, Poultry, Cart Protection & Liability, Tractors, Pedal Cycle, Personal Accident, and Baggage","attachments":["copy of other insurance policy if applicable","Legal Heir Certificate if nominee details are not available in policy","photographs of loss or physical damage wherever possible","copy of FIR if lodged (for Tractors and other applicable claims)","original doctor's certificates for Personal Accident claims","proof of medical treatment undertaken (for Cart Protection & Liability and Personal Accident claims)"],"declarations":["The statements made in this form are true in all respects.","The insured has not concealed any information from the company.","No change in nominee details is accepted at the time of claim if declared at proposal."],"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/226-farmer-s-package-policy-griha-claim-form"}