{"id":2561,"title":"OFFICE PACKAGE INSURANCE- LAGHU UDYAM SURAKSHA PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/commercial-insurance/commercial-pf/Office-Package-Policy-Laghu-Udyam-Suraksha-Proposal-Form.pdf","sha256":"782d3c24ac50870e6a8274bd05cdf182a799f3d7f86b6ce671e047e3a37dad6c","pages":11,"collected":"2026-10-17","instructions":{"about":"This form is a proposal for insurance under the Office Package Insurance - Laghu Udyam Suraksha scheme. It is filled by the proposer (policy applicant) to provide details about their business, premises, and coverage requirements for the insurer to assess and issue a policy.","notes":["Use separate sheets if space is insufficient for any answers.","Equipment older than 10 years cannot be insured under relevant sections.","Nominee for self (primary insured) must be one of the specified relations.","The property is not covered until the proposal is accepted and premium paid.","Read the Prospectus/Key Features Document/Policy Wordings before filling the form.","Keep policy contact details and bank account updated for hassle-free service.","Original and relevant documents must be submitted as required for policy issuance and claims.","The liability of the company commences only after acceptance of proposal and payment of premium."],"title":"OFFICE PACKAGE INSURANCE- LAGHU UDYAM SURAKSHA PROPOSAL FORM","submit":{"to":"Bajaj General Insurance Limited","how":"","address":"Bajaj Insurance House, Airport Road, Yerawada, Pune - 411006"},"purpose":"proposal","sections":[{"title":"Proposer Details and Contact Information","fields":[{"help":"","type":"text","label":"Name of Proposer","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Phone No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"E-Mail","options":[],"required":false,"pdf_field":""},{"help":"List all premises addresses to be insured","type":"table","label":"Location and address of all premises to be covered : (Please attach separate sheet, if required)","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Occupation / Business Activity","options":[],"required":true,"pdf_field":""},{"help":"Start date of insurance coverage","type":"date","label":"Period of Insurance: From:","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Coverage Part Selection and Nominee Details","fields":[{"help":"Select the covers you want to opt for","type":"checkbox","label":"Coverage Part (Please tick mark the Covers required and answer the relevant questions)","options":["Cover 1 - Building and Contents (Excluding Valuables)","Cover 2 - Burglary & Robbery Including Theft","Cover 3 - Money Insurance","Cover 4 - Plate Glass","Cover 5 - Breakdown of Office Equipment","Cover 6 - Baggage","Cover 7A - Electronic Equipment","Cover 7B - Portable Computers","Cover 8 - Fidelity Guarantee","Cover 9 - Personal Accident","Cover 10 - Public Liability","Cover 11 - Hospital Cash Allowance"],"required":true,"pdf_field":""},{"help":"Name of nominee for the policy","type":"text","label":"Nominee Details: Name","options":[],"required":true,"pdf_field":""},{"help":"Select relation of nominee to proposer","type":"choice","label":"Nominee*","options":["Father","Mother","Son","Daughter","Spouse","Others"],"required":true,"pdf_field":""},{"help":"Name of appointee if nominee is a minor","type":"text","label":"Appointee (If nominee is minor)","options":[],"required":false,"pdf_field":""},{"help":"Specify relation and reason if nominee is not a family member","type":"text","label":"If Nominee is \"Others\" please specify the relation and reason for such nomination","options":[],"required":false,"pdf_field":""},{"help":"Consent to transact claim payments through given bank account","type":"yes-no","label":"I accept to pay & receive claim amount (if any) in the above given Bank a/c","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if you want to open an electronic insurance account","type":"yes-no","label":"Do you want to open e-lA account:","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if you have an existing policy with Bajaj General Insurance","type":"yes-no","label":"Are you an exisiting customer of BGIL?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide existing policy or customer ID number","type":"text","label":"If Yes. Please provide PID No / Policy No.","options":[],"required":false,"pdf_field":""},{"help":"Confirm no change in KYC details","type":"checkbox","label":"I hereby confirm that, there is no change in my existing KYC details that are available from my previous/existing policy.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Constitution Details","fields":[{"help":"Select the constitution of your business","type":"choice","label":"If Yes Specify Constitution","options":["Partnership Firm","Limited Liability/Partnership Firm","NGO/NPO","Company","Trust","Society","Section 8 Company","Proprietorship Firm","Others (Please specify)"],"required":false,"pdf_field":""},{"help":"Provide DARPAN registration details if applicable","type":"text","label":"Provide DARPAN Portal Registration, if applicable","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 2 - Burglary & Robbery Including Theft","fields":[{"help":"Indicate if you want burglary and robbery cover","type":"yes-no","label":"Do you wish to opt this section?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide sum insured for each item listed","type":"table","label":"Please give break up of sum to be insured","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 3 - Money Insurance","fields":[{"help":"Specify transit locations for money insurance","type":"text","label":"Please specify the locations between which the transit of money to be covered ?","options":[],"required":false,"pdf_field":""},{"help":"Maximum amount covered per transit","type":"amount","label":"What is the Any One Transit Limit","options":[],"required":false,"pdf_field":""},{"help":"Number of money transits per month","type":"number","label":"How many transits take place in a month","options":[],"required":false,"pdf_field":""},{"help":"Estimated total amount transited annually","type":"amount","label":"What is the estimated Annual Transit","options":[],"required":false,"pdf_field":""},{"help":"Specify mode of money transit (e.g. vehicle, courier)","type":"text","label":"What is the mode of transit","options":[],"required":false,"pdf_field":""},{"help":"Describe security arrangements for transit","type":"text","label":"Please specify security provided, if any","options":[],"required":false,"pdf_field":""},{"help":"Indicate if casual employees carry money","type":"yes-no","label":"Whether casual employees are used for carrying money ?","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 4 - Plate Glass","fields":[{"help":"Provide position, size, description, and value of each glass pane","type":"table","label":"Please provide brief details of the Plate Glass to be insured and the value","options":[],"required":false,"pdf_field":""},{"help":"Indicate if any plate glass is excluded","type":"yes-no","label":"Is there any plate glass in the insured premises that is Not included in the above ?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if any plate glass is currently broken or damaged","type":"yes-no","label":"Is there at present any broken or damaged plate glass ?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe broken/damaged glass details","type":"text","label":"If Yes, please describe the position and size","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 5 - Breakdown of Office Equipment","fields":[{"help":"List office equipment details and sum insured; equipment older than 10 years not insurable","type":"table","label":"Description of the equipment, Sr. No., Type and Capacity of the Equipment, Year of Manufacture and Name of Manufacturer, Sum to be Insured (Rs)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 6 - Baggage","fields":[{"help":"Limit per loss for baggage cover","type":"amount","label":"Please specify the limit to be insured per loss","options":[],"required":false,"pdf_field":""},{"help":"Total limit for baggage cover during policy period","type":"amount","label":"Please specify the total limit during the policy period","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 7A - Electronic Equipment","fields":[{"help":"List electronic equipment details and sum insured; equipment older than 10 years not insurable","type":"table","label":"Description of the equipment, Sr. No., Type and Capacity of the Equipment, Year of Manufacture and Name of Manufacturer, Sum to be Insured (Rs)","options":[],"required":false,"pdf_field":""},{"help":"Indicate equipment covered under maintenance agreement","type":"checkbox","label":"Please specify which of the equipments are covered under Maintenance agreement?","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 7B - Portable Computers","fields":[{"help":"List portable computers details and sum insured; computers older than 10 years not insurable","type":"table","label":"Description of the equipment, Sr. No., Type and Capacity of the Equipment, Year of Manufacture and Name of Manufacturer, Sum to be Insured (Rs)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 8 - Fidelity Guarantee","fields":[{"help":"Confirm dual signatory cheque issuance","type":"yes-no","label":"Is there a requirement of dual signatories for issuance of cheques, and is such requirement met?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Confirm issuance of pre-numbered receipts","type":"yes-no","label":"Do the employees who receive cash and cheques in the course of their duties issue pre-numbered official receipts as confirmation of the receipt?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Confirm daily banking of cash and cheques","type":"yes-no","label":"Are all the cash and cheques received banked in daily or at the latest the next banking day?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe petty cash handling system and authorized persons","type":"text","label":"Is there an imprest system for handling of petty cash funds? If yes, please specify the persons who are authorised to manage the petty cash funds.","options":[],"required":false,"pdf_field":""},{"help":"Describe bank account operation and controls","type":"text","label":"What is the system of operation of Bank account followed and what are the precautions taken?","options":[],"required":false,"pdf_field":""},{"help":"Confirm authorization and verification of payments","type":"yes-no","label":"Whether such payments/ withdrawals are authorized by a senior employee and compared with supporting documents?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Frequency of bank reconciliations and checks","type":"text","label":"How often are the bank reconciliations and check of receipt counterfoils and vouchers being carried out?","options":[],"required":false,"pdf_field":""},{"help":"Describe credit privilege conditions","type":"text","label":"Under what circumstances will your customers qualify for credit privileges?","options":[],"required":false,"pdf_field":""},{"help":"Frequency of debtor account balancing and statements","type":"text","label":"How often is the balancing and control of debtor accounts with statements sent to all debtors?","options":[],"required":false,"pdf_field":""},{"help":"Indicate if stocks are kept","type":"yes-no","label":"Are there stocks (of any kind) kept for the conduct of your business?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Frequency of stocktaking","type":"text","label":"How often are stocktakings conducted?","options":[],"required":false,"pdf_field":""},{"help":"Names of persons responsible for stocktaking","type":"text","label":"Please list the persons responsible for carrying out stock-taking","options":[],"required":false,"pdf_field":""},{"help":"Maximum stock requisition per employee and if exceeded","type":"text","label":"Please state the maximum amount of stocks each employee can requisition at any one time? Is this ever exceeded?","options":[],"required":false,"pdf_field":""},{"help":"Confirm supervision of stock storage and custody","type":"yes-no","label":"Is there close supervision of storage and custody of all stocks maintained?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Confirm authorization of deliveries","type":"yes-no","label":"Are all deliveries to and from stores properly authorised?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Details of last stock audit","type":"text","label":"When was the last stock audit undertaken, by whom, and what did it reveal?","options":[],"required":false,"pdf_field":""},{"help":"Details of last audit of proposer","type":"text","label":"When was the proposer last audited, by whom, and what did the audit reveal?","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 9 - Personal Accident","fields":[{"help":"Name of employee to be covered","type":"text","label":"Name of the Employee","options":[],"required":false,"pdf_field":""},{"help":"Monthly salary of employee","type":"amount","label":"Monthly Salary","options":[],"required":false,"pdf_field":""},{"help":"Select cover type for personal accident","type":"choice","label":"Cover required (Part A for Death only, Part A & B for Death and Permanent Total Disability, Part A, B & C for Death, Permanent Total Disability and Permanent Partial Disability, Part D if Temporary Disability is opted)","options":["Part A","Part A & B","Part A, B & C","Part D"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 10 - Public Liability","fields":[{"help":"Limit per accident for public liability","type":"amount","label":"Please select the limit to be insured per accident : Rs.","options":[],"required":false,"pdf_field":""},{"help":"Aggregate limit for public liability","type":"amount","label":"Please select the limit to be insured in the aggregate : Rs.","options":[],"required":false,"pdf_field":""},{"help":"Disclose any past third party injury or damage claims","type":"text","label":"Has there or have there been any instances of third party Bodily Injury and Property Damage in the past","options":[],"required":false,"pdf_field":""},{"help":"Details of other insurance for public liability if any","type":"text","label":"Have you obtained insurance for this cover with any other insurer, and if yes, please give details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Workmen's Compensation","fields":[{"help":"Name of employee covered under workmen's compensation","type":"text","label":"Name of employee","options":[],"required":false,"pdf_field":""},{"help":"Monthly salary of employee","type":"amount","label":"Monthly salary","options":[],"required":false,"pdf_field":""},{"help":"Nature of employee's work","type":"text","label":"Nature of work","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 11 - Hospital Cash Allowance","fields":[{"help":"Indicate if you want hospital cash allowance cover","type":"yes-no","label":"Do you opt for this cover?","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Proposer Details and Policy Period (Annexure)","fields":[{"help":"Mobile contact number","type":"phone","label":"Mobile No","options":[],"required":false,"pdf_field":""},{"help":"Residential telephone number","type":"phone","label":"Telephone (Res.)","options":[],"required":false,"pdf_field":""},{"help":"Email address","type":"email","label":"E-Mail","options":[],"required":false,"pdf_field":""},{"help":"List all parties with insurable interest","type":"text","label":"Policy to be Issued in favour of (list out all the parties who have insurable interest) including the financial institutions","options":[],"required":true,"pdf_field":""},{"help":"Start date of policy period","type":"date","label":"Period of Insurance: From:","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Business and Location of Business","fields":[{"help":"Describe nature of business","type":"text","label":"Business of Proposer","options":[],"required":true,"pdf_field":""},{"help":"List all business locations with addresses and pin codes","type":"table","label":"Location of risk/business to be covered - full postal address with Pin Code","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details about business covered at the insured location","fields":[{"help":"Indicate if property is industrial/manufacturing","type":"yes-no","label":"Industrial / manufacturing risks","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if storage outside industrial/manufacturing","type":"yes-no","label":"Storage outside Industrial/ manufacturing risks","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if tanks/gas holders outside industrial/manufacturing","type":"yes-no","label":"Tanks / gas holders outside industrial/ manufacturing risks","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if utilities outside industrial/manufacturing","type":"yes-no","label":"Utilities located outside Industrial/manufacturing risks","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if boundary wall is insured","type":"yes-no","label":"Boundary wall","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if basement storage is insured","type":"yes-no","label":"Basement storage","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"List goods stored if warehouse/godown","type":"text","label":"If used as warehouse / godown (not located in a manufacturing unit) please give the list of goods stored","options":[],"required":false,"pdf_field":""},{"help":"Describe products manufactured","type":"text","label":"If used as an Industrial Manufacturing unit give products manufactured at the location proposed","options":[],"required":false,"pdf_field":""},{"help":"Indicate factory status","type":"choice","label":"If used as an Industrial Manufacturing unit, please state whether the factory is working or silent?","options":["Working","Silent"],"required":false,"pdf_field":""},{"help":"Select fire protection devices installed","type":"checkbox","label":"Fire Protection devices installed (Please Tick the correct answer)","options":["Portable Extinguishers","Small bore hose reels","Trailer Pumps/Fire engines","Hydrant System","Sprinkler System","Fixed Water Spray System","Foam System","Fire Alarm System","Gas Flooding System","Others (please specify)"],"required":false,"pdf_field":""},{"help":"Indicate if AMC is active for fire protection","type":"yes-no","label":"Indicate whether AMC (Annual Maintenance contract) for the Fire Protection Appliances is in force","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Number of floors in building","type":"number","label":"Number of Floors","options":[],"required":false,"pdf_field":""},{"help":"Distance to nearest fire brigade station","type":"text","label":"Distance between the risk to be covered and nearest Fire Brigade","options":[],"required":false,"pdf_field":""},{"help":"Details of other insurance if any","type":"text","label":"Whether You have insured the same property with any other Insurance Company with the same type of coverage. (Give details)","options":[],"required":false,"pdf_field":""},{"help":"Details if insurance was declined elsewhere","type":"text","label":"Whether Insurance was declined by any other Company (Give details)","options":[],"required":false,"pdf_field":""},{"help":"Provide premium and claim details for last 3 years","type":"table","label":"Premium / Claim details for the past 36 months excluding the expiring policy period","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Standard add-ons","fields":[{"help":"Indicate if floater cover for stocks at various locations is desired","type":"yes-no","label":"Do You want to opt for Floater Cover? : Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide details of floater cover locations and sums insured","type":"table","label":"Floater Cover (for stocks at various locations): Location (Postal Address with Pin Code), Sum Insured, Maximum value at any one location, Whether stocks stored in open: Yes/No","options":[],"required":false,"pdf_field":""},{"help":"Indicate if declaration policy for fluctuating stocks is desired","type":"yes-no","label":"Do You want to opt for Declaration Policy?: Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Specify amount for declaration policy","type":"amount","label":"Stocks which fluctuate in value to be covered on (monthly) declaration basis: Amount (Rs)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Details","fields":[{"help":"Select mode of premium payment","type":"choice","label":"Mode of Payment","options":[],"required":false,"pdf_field":""},{"help":"Enter premium amount","type":"amount","label":"Payment Details: Amount","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration by Insured","fields":[{"help":"Date of signing declaration","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing declaration","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Sign the declaration","type":"signature","label":"Signature of the Proposer","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration - Physical Proposal Form","fields":[{"help":"Declare if politically exposed person or relative","type":"yes-no","label":"Are you or any of the proposal applicants a PEP or a close relative of PEP?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Sign the declaration","type":"signature","label":"Signature of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Name of witness","type":"text","label":"Name of Witness","options":[],"required":true,"pdf_field":""},{"help":"Witness signature","type":"signature","label":"Signature of Witness","options":[],"required":true,"pdf_field":""},{"help":"Declare any physical disability","type":"yes-no","label":"Disability Declaration: Any Physical deformity or handicap","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide disability details and certificate","type":"text","label":"If Yes. Please provide details (Disability Certificate issued by the Medical Board appointed by the Government for certifying Disability)","options":[],"required":false,"pdf_field":""},{"help":"Signature of authorized representative","type":"signature","label":"Signature of Authorised Representative","options":[],"required":false,"pdf_field":""},{"help":"Agent or IMD signature and code","type":"signature","label":"Agent / IMD (SP/DP/ BQP) signature and their code","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer and agent"}],"deadlines":[],"applies_to":"Enterprises with total insurable assets exceeding 5 Crore but not exceeding 50 Crore, covering fire and allied perils and other specified covers under the Office Package Insurance","attachments":["Separate sheet for additional information if insufficient space","Annexure for Cover 1 - Building and Contents","Annexure for Hospital Cash Allowance cover","Separate sheet for Plate Glass details if required","Separate sheet for reported losses due to fraud if necessary","Separate sheet for equipment details if required"],"declarations":["The statements made in this proposal are true and complete to the best of the proposer's knowledge.","The proposal and declarations form the basis of the insurance contract.","The proposer agrees to pay premium on the estimated amount at the end of each policy period.","The proposer undertakes to exercise all reasonable precautions for safety of the property as if uninsured.","The proposer consents to verification of identity/address through specified government portals for KYC.","The premium has been paid from legally acquired sources and future premiums will be similarly paid.","The proposer consents to sharing personal information with group companies for insurance and related services.","The proposer agrees to keep policy contact and bank details updated for faster service.","The proposer confirms that the content of the form has been explained in vernacular and understood.","The agent/intermediary declares that the form contents have been explained to the proposer in vernacular.","Non-disclosure or untrue statements may lead to policy being void and premiums forfeited."],"dropped_labels":26},"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/2561-office-package-insurance-laghu-udyam-suraksha-proposal-form"}