{"id":2377,"title":"SERVICE CONTRACT LIABILITY INSURANCE POLICY - COMMERCIAL","purpose":"proposal","insurer":{"slug":"tata-aig-general-insurance","name":"Tata AIG General Insurance Company Limited"},"source_pdf":"https://www.tataaig.com/s3/Service_Contract_Liability_Insurance_Policy_Commercial_Claim_Form_e45b8aae52.pdf","sha256":"a6a5bdd164fcaf3230e0a6745afd61df901ba6d254834c9a87cdee8a8cc26f02","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is a proposal form to be filled and signed by the Company (the Policyholder) to apply for Service Contract Liability Insurance coverage.","notes":["This form must be filled and signed by the Company (Policyholder).","Answer all questions fully and correctly; if not applicable, mention clearly.","Payment of refund/claims will be made only through ECS/NEFT/RTGS/IMPS.","Attach a cancelled cheque leaf if premium cheque is not from the mentioned bank account and premium is above Rs 10,000.","This is only an acknowledgement receipt and does not amount to acceptance of risk or commencement of policy.","Policy issuance is subject to receipt of completed proposal form, premium payment and underwriting decision.","Use block letters where applicable."],"title":"SERVICE CONTRACT LIABILITY INSURANCE POLICY - COMMERCIAL","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Intermediary Details","fields":[{"help":"","type":"text","label":"Intermediary/Agent Name:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Agent Code/Intermediary License no.:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Intermediary /Agent  Contact Details:","options":[],"required":null,"pdf_field":""}],"filled_by":""},{"title":"Proposer Details","fields":[{"help":"","type":"text","label":"Name of the 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establishment","type":"number","label":"Year Company was founded:","options":[],"required":true,"pdf_field":""},{"help":"Total retail outlets operated","type":"number","label":"Number of Retail Outlets:","options":[],"required":true,"pdf_field":""},{"help":"Annual revenue in INR","type":"amount","label":"Annual Turnover:","options":[],"required":true,"pdf_field":""},{"help":"Number of employees","type":"number","label":"Employee Strength:","options":[],"required":true,"pdf_field":""},{"help":"Geographical locations of outlets","type":"text","label":"Location of Outlets:","options":[],"required":true,"pdf_field":""},{"help":"Corporate Identification Number","type":"text","label":"CIN No.:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Contact Person’s Name:","options":[],"required":true,"pdf_field":""},{"help":"Valid email address","type":"email","label":"Email Id:","options":[],"required":true,"pdf_field":""},{"help":"Permanent Account Number","type":"text","label":"PAN No:","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Landline Number:","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No:","options":[],"required":true,"pdf_field":""}],"filled_by":"The Company (Policyholder)"},{"title":"Product Details","fields":[{"help":"Select if burglary and theft cover is opted","type":"yes-no","label":"Burglary and Theft","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select if accidental and liquid damage cover is opted","type":"yes-no","label":"Accidental Damage and Liquid Damage","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select if fire and act of God perils cover is opted","type":"yes-no","label":"Fire and Act of God Perils","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Fill details for each product category including usage, price range, warranty, sum insured, limits, deductible, depreciation","type":"table","label":"For Extended Warranty - New Product Information (Proposed to be covered):","options":[],"required":null,"pdf_field":""},{"help":"Fill product category, cover period, sum insured, deductible, depreciation","type":"table","label":"For Burglary and Theft - Basis of Claim Payment – Purchase Price / Current Retail Value / Replacement Value/ Sum Insured","options":[],"required":null,"pdf_field":""},{"help":"Fill product category, cover period, sum insured, per repair limit, aggregate limit, deductible, depreciation","type":"table","label":"For Accidental Damage and Liquid Damage - Basis of Claim Payment– Purchase Price / Current Retail Value / Replacement Value/ Sum Insured","options":[],"required":null,"pdf_field":""},{"help":"Fill product category and related details","type":"table","label":"For Fire and Act of God Perils - Basis of Claim Payment– Purchase Price / Current Retail Value / Replacement Value/ Sum Insured","options":[],"required":null,"pdf_field":""},{"help":"Fill value added service details including preventive maintenance, pick up and drop service, cover period, sum insured, limits, deductible, depreciation","type":"table","label":"Value Added Service (Not Applicable for Burglary and Theft)","options":[],"required":null,"pdf_field":""},{"help":"Select yes or no and specify amount if yes","type":"yes-no","label":"Do you want cover for Food Spoilage (Food spoilage loss that results from a covered breakdown of a refrigerator, freezer, or equipments of similar nature.)","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Damage/failure caused before or during Insured Product delivery","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Extended Warranty (if opted)","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Accidental Damage and Liquid Damage (if opted)","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Accessories used in or with the Product","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Cost of removal or re-installation of the Product","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Batteries, internal or external to the Product","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Any loss to Ancillary products","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Commercial usage","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Routine maintenance, cleaning, lubrication, adjustments or alignments, overhaul, modification and de-scaling","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Damage resulting from power outage, power surges or dips, fluctuating voltage, inadequate or improper voltage or current.","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"The Company (Policyholder)"},{"title":"Past Claim Experience","fields":[{"help":"","type":"text","label":"Name of Insurance Company","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"Period of the policy","type":"text","label":"Policy Period","options":[],"required":null,"pdf_field":""},{"help":"Number of claims made","type":"number","label":"No. of Claims","options":[],"required":null,"pdf_field":""},{"help":"Total amount claimed","type":"amount","label":"Amt. of Claims","options":[],"required":null,"pdf_field":""}],"filled_by":"The Company (Policyholder)"},{"title":"Coverage Details","fields":[{"help":"Select cover type","type":"choice","label":"Opting Cover:","options":["New Equipment"],"required":true,"pdf_field":""},{"help":"Specify duration of cover","type":"text","label":"Cover Period (Duration) required:","options":[],"required":true,"pdf_field":""},{"help":"Specify months for new equipment","type":"text","label":"New equipment within months","options":[],"required":null,"pdf_field":""}],"filled_by":"The Company (Policyholder)"},{"title":"Point of Sale","fields":[{"help":"Estimated number of units sold","type":"number","label":"Estimated units:","options":[],"required":null,"pdf_field":""},{"help":"Select if replacement is mandatory or optional","type":"choice","label":"Will the Client require new for old, if appliance is not repairable:","options":["Mandatory","Optional"],"required":null,"pdf_field":""}],"filled_by":"The Company (Policyholder)"},{"title":"Repair Location & Related Details","fields":[{"help":"Name or description of repairer","type":"text","label":"Who will carry out the repairs:","options":[],"required":null,"pdf_field":""},{"help":"Entity managing repair network","type":"text","label":"Who will manage the repair network:","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is the repairer network fully resourced to work within the territorial limit of the insurance offered:","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide labour rates details","type":"text","label":"What are the minimum, maximum and average labour rates for various appliances:","options":[],"required":null,"pdf_field":""},{"help":"Provide parts cost details","type":"text","label":"What is the minimum, maximum and average cost of parts for various appliances:","options":[],"required":null,"pdf_field":""},{"help":"Specify if call out/transportation included and cost","type":"text","label":"Is call out and / or transportation to be included? If yes, at what cost:","options":[],"required":null,"pdf_field":""},{"help":"Freight cost if applicable","type":"amount","label":"Cost of freight :","options":[],"required":null,"pdf_field":""},{"help":"Specify any discounts","type":"text","label":"Any discount on replacement of appliances:","options":[],"required":null,"pdf_field":""}],"filled_by":"The Company (Policyholder)"},{"title":"Other Informations","fields":[{"help":"","type":"yes-no","label":"Will there be any marketing campaign:","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is there a direct mail or telesales element:","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Specify training needs if any","type":"text","label":"Any training requirement:","options":[],"required":null,"pdf_field":""},{"help":"Name of administrator","type":"text","label":"Who will administer the programme:","options":[],"required":null,"pdf_field":""},{"help":"Cost per policy","type":"amount","label":"How much will it cost per policy:","options":[],"required":null,"pdf_field":""},{"help":"Registration process","type":"text","label":"How are the policies/Contracts to be registered:","options":[],"required":null,"pdf_field":""},{"help":"Name of premium collector","type":"text","label":"Who will collect the premium:","options":[],"required":null,"pdf_field":""},{"help":"Name of auditor","type":"text","label":"Who will audit repair network:","options":[],"required":null,"pdf_field":""}],"filled_by":"The Company (Policyholder)"},{"title":"Premium Payment Details","fields":[{"help":"Tick whichever is applicable","type":"checkbox","label":"Payment by:","options":["Credit Card","Debit Card","Cheque","Cash","Account Transfer","Others"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Bank Name","options":[],"required":true,"pdf_field":""},{"help":"Date of payment instrument","type":"date","label":"Instrument Date","options":[],"required":true,"pdf_field":""},{"help":"Amount paid","type":"amount","label":"Amount (in INR)","options":[],"required":true,"pdf_field":""}],"filled_by":"The Company (Policyholder)"},{"title":"Bank Details (Required for Refund/Claims)","fields":[{"help":"Name as per bank records","type":"text","label":"Name of the account holder:","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Name of the bank:","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Branch:","options":[],"required":true,"pdf_field":""},{"help":"Select account type; specify if Others","type":"choice","label":"Type of Account:","options":["SB Account","Current Account","Others"],"required":true,"pdf_field":""},{"help":"Bank account number","type":"text","label":"Account no.","options":[],"required":true,"pdf_field":""},{"help":"Indian Financial System Code","type":"text","label":"Bank IFSC code:","options":[],"required":true,"pdf_field":""}],"filled_by":"The Company (Policyholder)"},{"title":"Declaration and Warranties","fields":[{"help":"Sign to confirm understanding and agreement","type":"signature","label":"Signature of the Proposer:","options":[],"required":true,"pdf_field":""},{"help":"Intermediary to sign and provide code","type":"signature","label":"Name & Signature of the Intermediary:","options":[],"required":true,"pdf_field":""},{"help":"Intermediary code","type":"text","label":"Code:","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"License No. (Intermediary/Corporate Agent/Broker/Relationship Officer):","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place:","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""},{"help":"Signature of specified person","type":"signature","label":"Signature:","options":[],"required":true,"pdf_field":""}],"filled_by":"The Company (Policyholder) and Intermediary"},{"title":"Acknowledgement for Proposal","fields":[{"help":"","type":"text","label":"Proposal Form No :","options":[],"required":null,"pdf_field":""},{"help":"Filled by company representative","type":"text","label":"We acknowledge the receipt of payment of `_____________________ vide______________________ from ________________________.","options":[],"required":null,"pdf_field":""},{"help":"","type":"signature","label":"Signature of the Representative:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of the Representative:","options":[],"required":null,"pdf_field":""}],"filled_by":"Office use"}],"deadlines":[],"applies_to":"Service Contract Liability Insurance Policy - Commercial","attachments":["Cancelled cheque leaf of the above mentioned Account if the premium cheque is not paid from the above mentioned account (mandatory if annualized premium is more than Rs 10,000)"],"declarations":["The proposer confirms that all premiums paid or payable are from bona fide sources and not from proceeds of crime.","The proposer is not a Politically Exposed Person nor related to one, and will inform the company if this status changes.","The proposal form and declaration form the basis of the contract between the company and Tata AIG.","The policy shall be void ab-initio if there is misrepresentation, fraud, non-disclosure or non-cooperation.","Insurance is effective only upon acceptance by Tata AIG and payment of premium in advance.","The proposer agrees to inform Tata AIG of any changes in the risk after submission of the proposal.","The proposer consents to receive information from Tata AIG by physical, electronic or telecommunication means.","The intermediary declares that the proposal form contents and implications have been explained to the proposer."],"dropped_labels":8},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"phone","value":"022 6489 8282","label":"Customer Support Number","level":null,"hours":"24*7","applies_to":"all","source_url":"https://www.tataaig.com/grievance-redressal-policy","quote":"are not satisfied with our services and wish to lodge a complaint, please feel free to call our Customer Support Number 022 6489 8282(Charges Applied) or 022-66939500 (tolled)\nDownload Our App\nFollow Us\nCompany\nAbout Us\nPublic Disclosures\nInvestors\nCont","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800 267 1955","label":"Customer Support Number (only for senior citizen policy holders)","level":null,"hours":"24*7","applies_to":"senior-citizen","source_url":"https://www.tataaig.com/grievance-redressal-policy","quote":"arashtra, India. CIN: U85110MH2000PLC128425.\nIRDA of India Regn. No. 108. 24*7 Customer Support Number: 022 6489 8282 / 1800 267 1955 (only for senior citizen policy holders). Email Id –\ncustomersupport@tataaig.com\n.\nCategory of Certificate of Registrat","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-267-6115","label":"Call to Buy New Policy","level":null,"hours":null,"applies_to":"all","source_url":"https://www.tataaig.com/contact-us","quote":"rch keywords for relevant FAQs.\nContact Us\nGet Mobile App\nGet Mobile App\nWhatsApp\n+91-9136160375\nCall to Buy New Policy\n1800-267-6115\nEmail:\ncustomersupport@tataaig.com\n24/7 Customer Support Number (Charges Apply)\n022-6489-8282\nSenior Citizen Policy Hol","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"022-6489-8282","label":"24/7 Customer Support Number (Charges Apply)","level":null,"hours":"24/7","applies_to":"all","source_url":"https://www.tataaig.com/contact-us","quote":"75\nCall to Buy New Policy\n1800-267-6115\nEmail:\ncustomersupport@tataaig.com\n24/7 Customer Support Number (Charges Apply)\n022-6489-8282\nSenior Citizen Policy Holders\n1800 267 1955\nDownload Our App\nFollow Us\nCompany\nAbout Us\nPublic Disclosures\nInvestors\nCo","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"whatsapp","value":"+91-9136160375","label":"WhatsApp Contact","level":null,"hours":null,"applies_to":"all","source_url":"https://www.tataaig.com/contact-us","quote":"Search\nChoose dropdown options and search keywords for relevant FAQs.\nContact Us\nGet Mobile App\nGet Mobile App\nWhatsApp\n+91-9136160375\nCall to Buy New Policy\n1800-267-6115\nEmail:\ncustomersupport@tataaig.com\n24/7 Customer Support Number (Charges Apply)\n02","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"customersupport@tataaig.com","label":"Customer Service Desk","level":1,"hours":null,"applies_to":"all","source_url":"https://www.tataaig.com/grievance-redressal-policy","quote":"committed to extend the best possible services to its customers. Please feel free to email the customer service desk at\ncustomersupport@tataaig.com\n. After investigating the matter internally and subsequent closure, we will send our response within a period of 7 days","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/tata-aig-general-insurance/2377-service-contract-liability-insurance-policy-commercial"}