{"id":2506,"title":"PROPOSAL FORM FOR PUBLIC LIABILITY INSURANCE [For non-industrial Risks]","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/commercial-insurance/public-liability-insurance-policy/Public-Liability-pf2.pdf","sha256":"257ab47f8bbbd0d3396acfcc0d040be04da55a2a84da0fdbc0f4b62df54e817e","pages":17,"collected":"2026-10-17","instructions":{"about":"This form is used by a proposer to apply for public liability insurance coverage for non-industrial risks. The proposer fills it out to provide details about their premises, activities, and risk exposures.","notes":["Liability of the company does not commence until the proposal has been accepted and the premium paid.","The territorial limit of the policy is anywhere in India.","All questions should be answered with respect to each unit/establishment.","Separate form required for each individual location for hoteliers/motels/club houses/restaurants.","Use original and accurate information; do not omit or misrepresent facts."],"title":"PROPOSAL FORM FOR PUBLIC LIABILITY INSURANCE [For non-industrial Risks]","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details and Premises Information","fields":[{"help":"","type":"text","label":"Name of the proposer [in full]","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address of the proposer","options":[],"required":null,"pdf_field":""},{"help":"Fill details for each premises: S.No, Occupancy, Address, Estimated Revenue, Surrounding third party property details","type":"table","label":"Address of each of the premises and \\ or chain of establishment to be insured","options":[],"required":null,"pdf_field":""},{"help":"Include type of construction, age, number of floors and height, floor occupied, other occupants, lifts/elevators/escalators details (make and capacity), activities carried on","type":"text","label":"Full description of each of the premises","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Are the premises \\ equipments \\ machineries in sound condition of repair","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Details of surrounding areas\\ property","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Have you complied with all statutory rules\\regulations pertaining to the premises and your business activities","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Does the premises have boundary\\fencing","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe security and safety arrangements","type":"text","label":"Security \\ safety arrangements","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Details of systems provided for prevention of fire, explosion etc.","options":[],"required":null,"pdf_field":""},{"help":"Provide details if an emergency plan exists","type":"text","label":"Details of emergency plan’ if any","options":[],"required":null,"pdf_field":""},{"help":"If yes, specify maximum capacity stored/used/handled","type":"yes-no","label":"Do you handle of use or store gases\\hazardous\\toxic\\radioactive materials and \\or equipments in the premises.  If yes, please give details of max. Capacity stored\\used\\handled at a time.","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Constitution Details","fields":[{"help":"Select the constitution type and provide DARPAN Portal Registration if applicable","type":"choice","label":"Constitution Details","options":["Partnership Firm","Limited Liability/Partnership Firm","NGO/NPO","Company","Trust","Society","Section 8 Company","Proprietorship Firm","Others (Please specify)"],"required":null,"pdf_field":""},{"help":"Provide DARPAN Portal Registration details if applicable","type":"text","label":"DARPAN DETAILS","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Claims History and Policy Details","fields":[{"help":"Fill claims data for last three years","type":"table","label":"Please give the claims history for the last three years in the following format: Year, No. of claims, Total amount paid Rs., Bodily injury, Property damage, Cost of Defence Actions, Total amount of pending claims, Bodily injury, Property damage, Cost of Defence action","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Total Estimated Revenue / Turnover","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Has your proposal or renewal been declined or premium been increased or special terms has been imposed by any insurer in the past?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Please indicate the limit of indemnity required - Per claim","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Please indicate the limit of indemnity required - In aggregate","options":[],"required":null,"pdf_field":""},{"help":"Start date of policy period","type":"date","label":"Policy period  required – From","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration and Signature","fields":[{"help":"Sign the form","type":"signature","label":"Signature of the proposer","options":[],"required":true,"pdf_field":""},{"help":"Location where form is signed","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Information for Specific Risk Types","fields":[{"help":"","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Contact Person","options":[],"required":null,"pdf_field":""},{"help":"Select category","type":"choice","label":"Category as per relevant association or authority","options":["1 Star","2 Star","3 Star","4 Star","5 Star","5 Star DLX"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Authority or association awarding the category","options":[],"required":null,"pdf_field":""},{"help":"If YES, since when the business is carried by yourself; if NO, provide details of property manager/operator","type":"yes-no","label":"Is the property owned and managed by you","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"date","label":"Managing since","options":[],"required":false,"pdf_field":""},{"help":"If yes, provide location, address, surrounding area/property details","type":"yes-no","label":"Do you have any properties US?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Number of buildings in the property","options":[],"required":null,"pdf_field":""},{"help":"Specify type of construction","type":"text","label":"Type of construction for each building (RBC / RCC / Others)","options":[],"required":null,"pdf_field":""},{"help":"In years","type":"number","label":"Age of each building","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Number of Floor at each building","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Does any building have asbestos roofing or asbestos used for construction?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"number","label":"What is the average number of visitors in the insured premises on daily basis","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Are visitors prohibited to enter specific areas of hotels?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"What are the areas where visitors are prohibited at all times?","options":[],"required":false,"pdf_field":""},{"help":"Percentage or number","type":"number","label":"What is the average occupancy of your hotel?","options":[],"required":null,"pdf_field":""},{"help":"Specify ratio","type":"text","label":"Ratio of visitors for foreign and local origin","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Details for emergency power back up","options":[],"required":null,"pdf_field":""},{"help":"","type":"date","label":"When your hotel was last renovated","options":[],"required":null,"pdf_field":""},{"help":"Percentage","type":"number","label":"What % of hotel was renovated?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do your hotel organize provide space for events / exhibitions for general public at large","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"number","label":"On an average how many events are organized in a year","options":[],"required":null,"pdf_field":""},{"help":"Specify maximum and minimum","type":"text","label":"What is the maximum and minimum numbers of visitors in such events?","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Total Number of rooms in the hotel","options":[],"required":null,"pdf_field":""},{"help":"Specify per floor","type":"text","label":"Number of rooms at each floor","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you have a Fire place in the rooms?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Specify frequency","type":"text","label":"What is the schedule of checking the electrical fittings & equipment and plumbing in the room","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do your all rooms have balconies?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do all rooms fitted with internal / epabx phones","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Is your room fitted with metal key lock or card key lock?","options":["Metal key lock","Card key lock"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do your rooms have connected doors?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Number of conference rooms","options":[],"required":null,"pdf_field":""},{"help":"Number of persons","type":"number","label":"Capacity per conference room","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Numbers of Ball rooms / Banquets","options":[],"required":null,"pdf_field":""},{"help":"Number of persons","type":"number","label":"Capacity of each ball room / banquets","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Number of restaurants","options":[],"required":null,"pdf_field":""},{"help":"Number of persons","type":"number","label":"Capacity of each restaurant","options":[],"required":null,"pdf_field":""},{"help":"Specify hours","type":"text","label":"Hours of operation (restaurants)","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Floors where these restaurants are located","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Details of bar facility","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do the bars are in compliance with liquor selling laws","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is your pool area adequately lightened during night operations?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do your pools have life guards available during operation time?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is pool depth restricted less than normal human height?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you have separate pool area for children?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do these facilities have been sub contracted","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do these shops have any restriction to sell highly inflammable items?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Specify frequency","type":"text","label":"Schedule of safety check for cooking gas and other mediums of cooking","options":[],"required":null,"pdf_field":""},{"help":"Specify frequency","type":"text","label":"Pest control schedule","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you perform quality check all batches of food ingredients purchased for kitchen?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Does your elevator comply with safety standards?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Does your elevator display warnings in case of fire?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Specify frequency","type":"text","label":"What is the maintenance schedule of your elevators?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do your elevators have emergency power back up in case of failure due to fire?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you have a health club?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is the instructor available in the health club?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"List fire fighting facilities available in each area","type":"text","label":"What kind of fire fighting is available? (Rooms, Kitchen, Lobby, Restaurants and Bars, Banquets, Ball Rooms, Conference rooms, Others)","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do the fire exits properly and adequately displayed in all required facilities","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you have emergency lightning available in case of failure of power due to fire","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you have trained staff for fire fighting?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Specify distance or time","type":"text","label":"How far is the nearest fire station","options":[],"required":null,"pdf_field":""},{"help":"Specify frequency","type":"text","label":"Do you perform fire drills and how often","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"What are the areas which are non smoking?","options":[],"required":false,"pdf_field":""},{"help":"Specify frequency","type":"text","label":"What is the cleaning & maintenance schedule of the floors?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do Trash and rubbish removed on daily basis","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Where is trash and rubbish finally disposed?","options":[],"required":null,"pdf_field":""},{"help":"Select one","type":"text","label":"Is the security staff employees or sub contracted?","options":["Employees","Sub contracted"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you have security at main entrance round the clock?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do the security Staff carry out patrols?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Specify patrol schedule and areas covered","type":"text","label":"What is the schedule and areas of patrol?","options":[],"required":null,"pdf_field":""},{"help":"Provide evacuation plan details","type":"text","label":"Details of Evacuation plan in case of emergency","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do some of the staff members are trained in providing First Aid and emergency medical Assistance?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cinema Halls, Auditoriums, Theatres, Open Air Theatres, Public Halls","fields":[{"help":"","type":"number","label":"What is the maximum seating capacity","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"How many screens are available at the premise?","options":[],"required":null,"pdf_field":""},{"help":"List facilities and indicate if operated/controlled by you","type":"text","label":"What are the other facilities provided.  Please specify whether they are operated and controlled by you (a, b, c, d, e)","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you need cover against Risks associated with food and beverage served in your establishment?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Number of entries and exits in each hall, theatre","options":[],"required":null,"pdf_field":""},{"help":"Includes gate money, donor cards, income from other facilities including all taxes, duties, levies, surcharges","type":"amount","label":"Specify Estimated Annual Turnover","options":[],"required":null,"pdf_field":""},{"help":"If YES please provide details","type":"yes-no","label":"Do you have an evacuation/safety plan in case of emergencies?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Start date","type":"date","label":"Policy Period required From","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Offices, Residential Premises, Medical Establishments, Research Institutions & Laboratories, Airport Premises","fields":[{"help":"","type":"text","label":"Specify whether other facilities like Canteens, Sports etc, provided [ list out facilities]","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you need cover against risk associated with food and beverages served in your establishment","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Start date","type":"date","label":"Policy Period required From","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Schools, Educational Institutions, Libraries","fields":[{"help":"Specify number and age groups","type":"text","label":"No. of students and their age group","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Whether hostel facility is provided","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If hostel facility is provided","type":"text","label":"If yes, No. of rooms. No. Of inmates","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Are canteen facilities provided in institutions\\hostel. If yes, state whether they are hygienically maintained","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you need cover against Risks associated with food and beverages served in your institutions","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"number","label":"No. Of laboratories","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Measures taken to prevent accident in laboratories","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Teacher\\Student Ratio","options":[],"required":null,"pdf_field":""},{"help":"Start date","type":"date","label":"Policy Period required From","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Exhibitions, Fairs, Fetes, Circuses, Film Studios, Pandals, Tournaments, Zoos, Permanent Amusement Parks","fields":[{"help":"","type":"text","label":"Detailed description of Event","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Revenue generated in this event","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Participants: Maximum number of people expected in any one day","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Nationality","options":[],"required":false,"pdf_field":""},{"help":"Event date","type":"date","label":"Event to be conducted on","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Venue","options":[],"required":null,"pdf_field":""},{"help":"Describe temporary structures","type":"text","label":"Temporary structures, if any","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"The products that are showcasing in this event","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Geographical Scope","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Jurisdiction","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Additional Information (About the client – events in the past)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Claim History","options":[],"required":false,"pdf_field":""},{"help":"Attach evacuation plan","type":"attachment","label":"Copy of: 1. The evacuation plan","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Who will be attending the event? Category – Individuals / company etc?","options":[],"required":false,"pdf_field":""},{"help":"List facilities and indicate if operated/controlled by you","type":"text","label":"What are the other facilities\\games provided? Please specify whether they are operated and controlled by you (a, b, c, d)","options":[],"required":false,"pdf_field":""},{"help":"Start date","type":"date","label":"Policy Period required From","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Warehouses, Godowns, Shops, Depots, Tank Farms","fields":[{"help":"","type":"text","label":"What are the types of items likely to be stored and\\or sold in each of the premises","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Whether hazardous items like Chemicals \\ rackers Explosives Paints Kerosene Lubricants spirits etc. are likely to be stored","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If yes, specify maximum quantity and value of each item stored and what is the value of such hazardous items to total stock","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Whether Municipal and other regulations for such storage are complied with","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"number","label":"In case of Warehouses\\Goodowns please state the area occupied in cubic meter","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Details of Measures for prevention\\Control of Fire and\\or explosion Risks","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Is there any possibility of leakage of chemicals and \\ or gas resulting into injury\\damage to Third Party","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If yes, give details of chemicals, quantity stored and preventive measures taken to avoid such occurrence","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you wish to cover Pollution Risks?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Estimated Annual Turnover (Includes total sales\\hire charges\\rent earned etc, including all taxes and levies)","options":[],"required":null,"pdf_field":""},{"help":"Start date","type":"date","label":"Policy Period required From","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Politically Exposed Persons (PEP) and Consents","fields":[{"help":"If yes, please share the details","type":"yes-no","label":"Are you or any of the proposal applicants a PEP* or a close relative of PEP*?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Consent for KYC verification","type":"yes-no","label":"I/we hereby give my/our consent to the Company to verify and obtain my/our identity/address proof through CERSAI records or National Securities Depository Limited Portal for the purpose of undertaking KYC verification.","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Declaration of legal source of premium payment","type":"yes-no","label":"I/we hereby declare and confirm that the premium has been paid out of legally acquired sources of income and the subsequent premiums if any, will continue to be paid out of legally declared and assessed source of income.","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Consent for sharing personal information","type":"yes-no","label":"I/We hereby give voluntary consent to Bajaj General/Company to share my/our personal information and data provided in this proposal form with its group companies or any other person in connection with the Insurance Policy or otherwise, including for providing products and services of group companies that may be of interest to me/us, to be used in accordance with their respective privacy policies and subject to appropriate measures being in place to safeguard my/our personal information.","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Public Liability Insurance for non-industrial risks","attachments":["Copy of: 1. The evacuation plan","Copy of: 2. Security Arrangements","Copy of: 3. Fire Equipment details such as smoke detectors, fire extinguishers, fire brigade details available","Copy of: 4. What and how much is the worth of third party property within the venue","Copy of: 5. Details of surrounding areas\\ property"],"declarations":["The proposer declares that all statutory provisions relating to the business are complied with.","The proposer declares that all statements and particulars are true and no material fact is omitted, suppressed, misrepresented or misstated.","The proposer agrees that the declaration shall be the basis of the contract between the proposer and the company.","No person shall offer or accept any rebate of commission or premium except as allowed by the insurer's published prospectus or tables.","Any person violating the rebate prohibition is punishable with a fine up to ten lakh rupees.","Consent is given for KYC verification through CERSAI or NSDL portals.","Declaration that premium is paid from legally acquired sources.","Consent to share personal information with group companies and others as per privacy policies."],"dropped_labels":28},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"email","value":"careforyou@bajajgeneral.com","label":"Customer Service Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"in a new tab\nBajaj General Insurance Limited\nTollfree: For sales :\n1800-209-0144\nFor service :\n1800-209-5858\nEmail id:\ncareforyou@bajajgeneral.com\nFor senior citizens:\nseniorcitizen@bajajgeneral.com\nFor senior citizens:\n1800-209-5858\nFax no:\n020-30512246\nRegistered","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-209-5858","label":"Service Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"Careers\nBecome\n                                An Agent\nAwards\nUpdate KYC\nMY ABHA\nBuy Policy:\n1800-209-0144\n| Service:\n1800-209-5858\nService Chat:\n+91 75074 25858\nInsure\nHealth Insurance\nIndividual Health Insurance\nFamily Health Insurance\nInternational","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-209-0144","label":"Sales Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"nsurance\nSupport\nAbout Us\nCareers\nBecome\n                                An Agent\nAwards\nUpdate KYC\nMY ABHA\nBuy Policy:\n1800-209-0144\n| Service:\n1800-209-5858\nService Chat:\n+91 75074 25858\nInsure\nHealth Insurance\nIndividual Health Insurance\nFamily Healt","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-209-5858","label":"Customer Service Toll Free Number","level":1,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"ted servicing team to help you meet your service needs.\nCustomer Service - We're Here to Help\nDial our Toll Free Number\n1800-209-5858\nEmail us on\ncareforyou@bajajgeneral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Cha","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"ggro@bajajgeneral.com","label":"Grievance Redressal Officer Email Mr. Jerome Vincent","level":2,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"fied with the response given to you by our team, you may write to our Grievance Redressal Officer Mr. Jerome Vincent at\nggro@bajajgeneral.com\nLevel 3\nHead Customer Service\nif you are still not satisfied with the solutions provided, or have some feedback for us,","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-209-7073","label":"Toll free No. Intermediary","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"Here to Help\nDial our Toll Free Number\n1800-209-5858\nEmail us on\ncareforyou@bajajgeneral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Chatbot\nConnect with us on WhatsApp +91 7507425858\nFor Support\nBajaj General App\nPle","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"whatsapp","value":"+91 7507425858","label":"BOING WhatsApp Chatbot","level":null,"hours":"24x7","applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"ral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Chatbot\nConnect with us on WhatsApp +91 7507425858\nFor Support\nBajaj General App\nPlease scan and download\nMissed Call Facility\nMissed Call - 80809 45060 Short code - SMS","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/bajaj-general-insurance/2506-proposal-form-for-public-liability-insurance-for-non-industrial-risks"}