{"id":2353,"title":"MOTOR TRADE (ROAD TRANSIT RISKS) INSURANCE POLICY CLAIM FORM","purpose":"claim","insurer":{"slug":"sbi-general-insurance","name":"SBI General Insurance Company Limited"},"source_pdf":"https://content.sbigeneral.in/uploads/a2a5bfc949ec4b2cadd6cb29ddecffe2.pdf","sha256":"83af72f823146a8ed9733022107cb1b3678c105b9dd7cfc1f1510e6552e46817","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured or claimant to report and claim for loss, damage, or accident under the Motor Trade (Road Transit Risks) insurance policy.","notes":["Issue of this claim form is not an admission of liability.","If any detail or information is not readily available, do not delay dispatch of this form; other particulars may be sent later.","Use original documents for verification where specified.","Sketch the accident using the diagram on page 4.","Attach additional sheets if required for third party details.","Discharge voucher is included for claim settlement acknowledgment."],"title":"MOTOR TRADE (ROAD TRANSIT RISKS) INSURANCE POLICY CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"A. DETAILS OF INSURED/CLAIMANT","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"Start and end date of the insurance period","type":"date","label":"Period of Insurance","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim Number","options":[],"required":null,"pdf_field":""},{"help":"Name of the insured as per the policy","type":"text","label":"Name as per  Policy","options":[],"required":null,"pdf_field":""},{"help":"Full postal address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Email address","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""},{"help":"Sum insured or indemnity limit in rupees","type":"amount","label":"Limits of Indemnity under the Policy/IDV  (Rs.)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"B. DETAILS OF LOSS/DAMAGE/ACCIDENT","fields":[{"help":"Date when the loss or accident occurred","type":"date","label":"Date of Loss/Damage/ Accident","options":[],"required":null,"pdf_field":""},{"help":"Time of the incident with AM or PM","type":"text","label":"Time of Loss","options":["A.M.","P.M."],"required":null,"pdf_field":""},{"help":"Full address where the loss/damage/accident occurred","type":"text","label":"Location Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Name of contact person at the location","type":"text","label":"Contact Details of person/s at Location - Name","options":[],"required":null,"pdf_field":""},{"help":"Relationship of contact person to insured","type":"text","label":"Relationship with Insured","options":[],"required":null,"pdf_field":""},{"help":"Landline phone number of contact person","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"Mobile number of contact person","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Email of contact person","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""},{"help":"Describe the cause in detail; use the diagram on page 4 to sketch the accident","type":"text","label":"Describe Cause of Loss/Damage/ Accident","options":[],"required":null,"pdf_field":""},{"help":"Estimated monetary value of the loss","type":"amount","label":"Estimated Loss (Rs.)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Witness Details and Information to Authority","fields":[{"help":"","type":"yes-no","label":"Were there any witnesses to the loss /Damage/ accident?","options":["Yes","No"],"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 the loss was not reported","type":"text","label":"If ‘No’, reason for not reporting","options":[],"required":null,"pdf_field":""},{"help":"Name of the authority where loss was reported","type":"text","label":"Name of Authority","options":[],"required":null,"pdf_field":""},{"help":"Reference number and date of report","type":"text","label":"Information Report No./Authority Reference No. and Date","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"C. VEHICLE DETAILS","fields":[{"help":"Vehicle registration number","type":"text","label":"Reg. No.","options":[],"required":null,"pdf_field":""},{"help":"Vehicle manufacturer","type":"text","label":"Make","options":[],"required":null,"pdf_field":""},{"help":"Vehicle model","type":"text","label":"Model","options":[],"required":null,"pdf_field":""},{"help":"Vehicle chassis number","type":"text","label":"Chassis No.","options":[],"required":null,"pdf_field":""},{"help":"Vehicle engine number","type":"text","label":"Engine No.","options":[],"required":null,"pdf_field":""},{"help":"Vehicle Identification Number","type":"text","label":"VIN No.","options":[],"required":null,"pdf_field":""},{"help":"Date vehicle was registered","type":"date","label":"Date of Registration","options":[],"required":null,"pdf_field":""},{"help":"Regional Transport Office jurisdiction","type":"text","label":"RTO Jurisdiction","options":[],"required":null,"pdf_field":""},{"help":"Date vehicle was transferred if applicable","type":"date","label":"Date of transfer","options":[],"required":null,"pdf_field":""},{"help":"Fuel type used by vehicle","type":"text","label":"Type of Fuel","options":[],"required":null,"pdf_field":""},{"help":"Vehicle color","type":"text","label":"Colour of Vehicle","options":[],"required":null,"pdf_field":""},{"help":"Select vehicle class; specify if Others","type":"choice","label":"Vehicle Class","options":["Two Wheeler","Pvt. Car","Commercial","Miscellaneous","Others(specify)"],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"D. DETAILS OF OTHER INSURANCE","fields":[{"help":"","type":"yes-no","label":"Is the loss/damage covered under any other Insurance","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Name of other insurer if applicable","type":"text","label":"Name of Insurer","options":[],"required":null,"pdf_field":""},{"help":"Address of other insurer","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Phone number of other insurer","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"Mobile number of other insurer","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Email of other insurer","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""},{"help":"Policy number of other insurance","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Start and end date of other insurance","type":"date","label":"Period of Insurance","options":[],"required":null,"pdf_field":""},{"help":"Sum insured under other insurance","type":"amount","label":"Sum Insured (Rs.)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"E. DETAILS OF OTHER INTEREST","fields":[{"help":"","type":"yes-no","label":"Is the Insured the Sole Owner of the property?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe nature of interest if not sole owner","type":"text","label":"If ‘No’, specify Nature of Interest","options":[],"required":null,"pdf_field":""},{"help":"Names of other interested persons","type":"text","label":"Person/s who has/have interest on property","options":[],"required":null,"pdf_field":""},{"help":"Address of other interested persons","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Phone number of other interested persons","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"Mobile number of other interested persons","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Email of other interested persons","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"F. DRIVER DETAILS","fields":[{"help":"Full name of the driver","type":"text","label":"Name of Driver","options":[],"required":null,"pdf_field":""},{"help":"Relationship of driver to insured","type":"text","label":"Relationship with Insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Gender","options":["Male","Female"],"required":null,"pdf_field":""},{"help":"Driver's date of birth","type":"date","label":"Date of Birth","options":[],"required":null,"pdf_field":""},{"help":"Driver's full address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Driver's phone number","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"Driver's mobile number","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Driver's email","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""},{"help":"Driver's license number","type":"text","label":"Driving License No.","options":[],"required":null,"pdf_field":""},{"help":"License issue date","type":"date","label":"Date of Issue","options":[],"required":null,"pdf_field":""},{"help":"License expiry date","type":"date","label":"Date of Expiry","options":[],"required":null,"pdf_field":""},{"help":"Regional Transport Office that issued license","type":"text","label":"Issuing RTO","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Type of License","options":["Permanent","Temporary"],"required":null,"pdf_field":""},{"help":"Select license class","type":"choice","label":"Class","options":["M-Cycle W/G","M-Cycle Wo/G","LMV","Transport","Non-Transport","HGV","Passenger","Goods"],"required":null,"pdf_field":""},{"help":"Any special endorsements on license","type":"text","label":"Special Endorsements, if any","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"G. ACCIDENT/THEFT DETAILS","fields":[{"help":"Speed in kmph","type":"number","label":"Speed at the time of accident","options":[],"required":null,"pdf_field":""},{"help":"Select type of loss; specify if Others","type":"choice","label":"Type of Loss","options":["Own Damage","Theft","Partial Theft","Others(specify)"],"required":null,"pdf_field":""},{"help":"Check if applicable","type":"checkbox","label":"Third Party Death","options":[],"required":null,"pdf_field":""},{"help":"Check if applicable","type":"checkbox","label":"Third Party Injury","options":[],"required":null,"pdf_field":""},{"help":"Check if applicable","type":"checkbox","label":"Third Party Property Damage","options":[],"required":null,"pdf_field":""},{"help":"Check if applicable","type":"checkbox","label":"Personal Accident","options":[],"required":null,"pdf_field":""},{"help":"Describe vehicle usage purpose","type":"text","label":"Purpose for which the vehicle was being used at the time of accident/theft","options":[],"required":null,"pdf_field":""},{"help":"Number of occupants","type":"number","label":"No. of people travelling in the vehicle at the time of accident","options":[],"required":null,"pdf_field":""},{"help":"Provide weights: RLW, ULW, GVW and weight carried","type":"text","label":"Weighment Details RLW, ULW, GVW, Weight Carried","options":[],"required":null,"pdf_field":""},{"help":"Name of person holding keys","type":"text","label":"In case of theft, keys in the possession of? Name","options":[],"required":null,"pdf_field":""},{"help":"Contact number of key holder","type":"phone","label":"Contact No.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"H. GARAGE/BODYSHOP/REPAIRER DETAILS","fields":[{"help":"Name of garage or repairer","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"Contact person at garage/repairer","type":"text","label":"Name of Contact person","options":[],"required":null,"pdf_field":""},{"help":"Full address of garage/repairer","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Phone number of garage/repairer","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"Mobile number of garage/repairer","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Email of garage/repairer","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"L. DETAILS OF OTHER INFORMATION","fields":[{"help":"","type":"yes-no","label":"Do you wish to provide any other information?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Additional information if any","type":"text","label":"If ‘Yes’, specify","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Declaration and Signature","fields":[{"help":"Place where form is signed","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Signature of insured/claimant","type":"signature","label":"Signature","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Print full name","type":"text","label":"Name of Insured/Claimant","options":[],"required":true,"pdf_field":""}],"filled_by":"insured/claimant"}],"deadlines":[],"applies_to":"Motor Trade (Road Transit Risks) insurance claims","attachments":["Proof of insurance - Policy / Cover note copy","Copy of Registration Book, Tax Receipt (original for verification)","Copy of Motor Driving License of the person driving the vehicle at the time of accident (original for verification)","Police Panchanama /FIR (In case of Third Party property damage /Death / Body Injury)","Estimate for repairs from the repairer where the vehicle is to be repaired","Repair Bills/Invoices and payment receipts after the job is completed","Original Policy document (for Theft Claims)","Original Registration Book/Certificate and Tax Payment Receipt (for Theft Claims)","All the sets of keys/Service Booklet/Warranty Card/Original Purchase Invoice (for Theft Claims)","Police Panchanama/ FIR and Final Investigation Report/Non Traceable Report (for Theft Claims)","Acknowledged copy of letter addressed to RTO intimating theft and informing 'NON-USE' (for Theft Claims)","Form 28, 29 and 30 signed by the insured and Form 35 signed by the Financer, as the case may be, undated and blank (for Theft Claims)","Letter of Subrogation (for Theft Claims)","Consent towards agreed claim settlement value from yourself and Financer (for Theft Claims)","NOC from the Financer if claim is to be settled in your favour (for Theft Claims)","Additional documents required by us if any, will be intimated to you as and when required"],"declarations":["The claimant warrants the truth of all statements and understands that false or fraudulent statements will forfeit the claim and policy.","The claimant has received and understood the list of required documents and acknowledges that delays due to non-fulfillment are not the company's responsibility.","The claimant agrees to provide additional information and documentation if required."],"dropped_labels":20},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"customer.care@sbigeneral.in","label":"Motor Claims Email","level":null,"hours":null,"applies_to":"motor","source_url":"https://www.sbigeneral.in/claim/motor","quote":"m\nRegister or Track Claim Status with one simple click\nIntimate Claim\nCheck Claim Status\n1800 102 1111\n(Available 24/7)\ncustomer.care@sbigeneral.in\nMail ID\nSmooth rides, smoother claims\nBecause you deserve worry-free journeys, always\nDownload SBIG App\nRegister or Tra","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"sbig.health@sbigeneral.in","label":"Health Claims Email","level":null,"hours":null,"applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"ailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in\n18,000+\nNetwork Hospitals\nHealth Vertical Office:\nSBI General Insurance Company Limited,\n9th Floor, Westport, Pan Card","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"seniorcitizen.health@sbigeneral.in","label":"Senior Citizen Health Claims Email","level":null,"hours":null,"applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"Feel Free to Reach Out\nCall Us:\nAvailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in\n18,000+\nNetwork Hospitals\nHealth Vertical Office:\nSBI General Insurance Company Limited,\n9th","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 102 1111","label":"Motor Claims Toll-free Number","level":null,"hours":"Available 24/7","applies_to":"motor","source_url":"https://www.sbigeneral.in/claim/motor","quote":"e Claim\nFAQs\nDownload Claim Form\nRegister or Track Claim Status with one simple click\nIntimate Claim\nCheck Claim Status\n1800 102 1111\n(Available 24/7)\ncustomer.care@sbigeneral.in\nMail ID\nSmooth rides, smoother claims\nBecause you deserve worry-free journ","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 210 3366","label":"Health Claims Toll-free Number","level":null,"hours":"Available 24/7","applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"e simple click\nCheck Claim Status\nIntimate Claim\nFor any Queries, Please Feel Free to Reach Out\nCall Us:\nAvailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 210 6366","label":"Health Claims Toll-free Number","level":null,"hours":"Available 24/7","applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"heck Claim Status\nIntimate Claim\nFor any Queries, Please Feel Free to Reach Out\nCall Us:\nAvailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in\n18,000+\nNetwork","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"sms","value":"561612","label":"Health Claims SMS 'HEALTHCLAIM'","level":null,"hours":null,"applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"y Queries, Please Feel Free to Reach Out\nCall Us:\nAvailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in\n18,000+\nNetwork Hospitals\nHealth Vertical Office","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/sbi-general-insurance/2353-motor-trade-road-transit-risks-insurance-policy-claim-form"}