{"id":2600,"title":"Farmers Package Insurance- Proposal form","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/commercial-insurance/farmers-package-insurance/Farmer-Package-Insurance-pf.pdf","sha256":"cb1ee528dc14990e5ae83a4da7a945c132825e991be63e476c03a767dec2987e","pages":17,"collected":"2026-10-17","instructions":{"about":"This form is a proposal for insurance under the Farmers Package Insurance by Bajaj General Insurance Limited. It is filled by the proposer (applicant) seeking insurance coverage for various farm-related assets and risks.","notes":["Use separate sheet if space is insufficient to provide information.","Replacement value should be used for sum insured for all assets.","Cover for poultry is available only if poultry is owned and located within the farm.","Minimum number of poultry is 100 if bank financed, else 500.","Valuables are not covered under baggage cover.","For legal interpretation, English version of the policy will prevail.","Policy period for long term policies shall not exceed 10 years.","Original bills and certificates may be required for claims processing.","Keep policy updated with mobile number, email ID, PAN card, and bank account details.","Agent/intermediary must explain the proposal form contents to the proposer."],"title":"Farmers Package Insurance- Proposal form","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Basic Proposal Details","fields":[{"help":"","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Agency Code","options":[],"required":null,"pdf_field":""},{"help":"Name of the insured person or entity","type":"text","label":"Insured","options":[],"required":true,"pdf_field":""},{"help":"Details of the farm","type":"text","label":"Farm","options":[],"required":true,"pdf_field":""},{"help":"Details of farmhouse if any","type":"text","label":"Farmhouse","options":[],"required":false,"pdf_field":""},{"help":"Duration of the insurance period","type":"text","label":"Period of Insurance","options":[],"required":true,"pdf_field":""},{"help":"Date from which coverage is retroactive, if applicable","type":"date","label":"Retroactive Date, If any","options":[],"required":false,"pdf_field":""},{"help":"Select the insurance covers required","type":"choice","label":"Coverage part","options":["Cover 1 : Buildings and Contents","Cover 2: Robbery and Burglary","Cover 3 : Farm Produce","Cover 4 : Agricultural Pump Set","Cover 5: Poultry","Cover 6 Cart Protection & Liability","Cover 7 : Tractors","Cover 8 : Pedal Cycle","Cover 9: Personal Accident","Cover 10 : Baggage"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Constitution Details","fields":[{"help":"Select the constitution type of the proposer","type":"choice","label":"If Yes Specify Constitution","options":["Partnership Firm","Limited Liability/Partnership Firm","NGO/NPO - Provide DARPAN Portal Registration, if applicable","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":"Cover 1: Buildings and Contents","fields":[{"help":"Enter sum insured for buildings (minimum Rs. 5,000 per claim and aggregate)","type":"amount","label":"Buildings: Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"Sum insured for contents should match that under Cover 1","type":"amount","label":"Contents in Farmhouse","options":[],"required":true,"pdf_field":""},{"help":"5% of Sum Insured subject to minimum Rs.500 and maximum Rs.10,000 per claim","type":"text","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 3: Farm Produce","fields":[{"help":"Details of farm business","type":"text","label":"Farm Business","options":[],"required":true,"pdf_field":""},{"help":"Details of farm produce and storage location","type":"text","label":"Farm Produce","options":[],"required":true,"pdf_field":""},{"help":"Replacement value of farm produce at policy commencement date","type":"amount","label":"Total Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"Lesser of Rs.25,000 or 5% of Sum Insured per claim","type":"text","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 4: Agricultural Pump Set","fields":[{"help":"Select type of pump set","type":"choice","label":"Electrical or Diesel","options":["Electrical","Diesel"],"required":true,"pdf_field":""},{"help":"Replacement value of pump set at policy commencement date","type":"amount","label":"Value","options":[],"required":true,"pdf_field":""},{"help":"Indicate if pump set is working","type":"yes-no","label":"Is the Pump Set in working condition?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"First Rs.100 of each claim","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 5: Poultry","fields":[{"help":"Answer Yes or No","type":"yes-no","label":"Is the poultry on the Farm owned by you?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer Yes or No","type":"yes-no","label":"Is it located within your Farm?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Specify type of poultry (e.g. Broiler, Layer)","type":"text","label":"Type of Poultry","options":[],"required":true,"pdf_field":""},{"help":"Average age of poultry","type":"text","label":"Average Age","options":[],"required":true,"pdf_field":""},{"help":"Number of poultry","type":"number","label":"Number","options":[],"required":true,"pdf_field":""},{"help":"Replacement value of poultry at policy commencement date","type":"amount","label":"Value","options":[],"required":true,"pdf_field":""},{"help":"Provide if applicable","type":"amount","label":"Sub-limit of Sum Insured, if any","options":[],"required":false,"pdf_field":""},{"help":"20% of each claim","type":"text","label":"Deductible","options":[],"required":true,"pdf_field":""},{"help":"Attach certificate if available","type":"yes-no","label":"Is certificate from a qualified veterinarian practitioner enclosed regarding the good health of the poultry","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide mortality rates for Broiler and Layer poultry by age groups","type":"table","label":"Mortality Rates","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 6: Cart Protection & Liability","fields":[{"help":"Rs.500 of each claim","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 7: Tractors","fields":[{"help":"Provide tractor details","type":"text","label":"Number, Make, Year of Manufacture","options":[],"required":true,"pdf_field":""},{"help":"Select fuel type","type":"choice","label":"Diesel or Petrol","options":["Diesel","Petrol"],"required":true,"pdf_field":""},{"help":"Replacement value of tractor at policy commencement date","type":"amount","label":"Value","options":[],"required":true,"pdf_field":""},{"help":"Provide if applicable","type":"amount","label":"Sub-limit of Sum Insured, if any","options":[],"required":false,"pdf_field":""},{"help":"Total insured value for tractor","type":"amount","label":"Total Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"As per the Motor policy attached","type":"text","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 8: Pedal Cycle","fields":[{"help":"Provide pedal cycle details","type":"text","label":"Number, Make, Year of Manufacture","options":[],"required":true,"pdf_field":""},{"help":"Replacement value of pedal cycle at policy commencement date","type":"amount","label":"Value","options":[],"required":true,"pdf_field":""},{"help":"Provide if applicable","type":"amount","label":"Sub-limit of Sum Insured, if any","options":[],"required":false,"pdf_field":""},{"help":"Total insured value for pedal cycle","type":"amount","label":"Total Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"Limit of third party liability","type":"amount","label":"Third Party Liability","options":[],"required":true,"pdf_field":""},{"help":"Rs.100 per claim","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 9: Personal Accident","fields":[{"help":"Name of the insured person for personal accident cover","type":"text","label":"Named Insured","options":[],"required":true,"pdf_field":""},{"help":"Sum insured for personal accident","type":"amount","label":"Total Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"Nil deductible for personal accident claims","type":"text","label":"Deductible","options":[],"required":true,"pdf_field":""},{"help":"Age of the insured person","type":"number","label":"Age","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 10: Baggage","fields":[{"help":"Sum insured for baggage (valuables not covered)","type":"amount","label":"Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"Relationship of baggage owner to insured","type":"text","label":"Relationship with the insured","options":[],"required":false,"pdf_field":""},{"help":"Declare any existing disability","type":"text","label":"Existing disability, if any","options":[],"required":false,"pdf_field":""},{"help":"Select travel area for baggage cover","type":"choice","label":"Places for travel India/ Worldwide (delete whichever not applicable)","options":["India","Worldwide"],"required":true,"pdf_field":""},{"help":"5% of claim amount subject to minimum Rs.250 per claim","type":"text","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Claims History","fields":[{"help":"Answer if any claims made in past 5 years","type":"yes-no","label":"Made any claim under any insurance policy in respect of any of the insurance covers now proposed?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer if any claim was declined or refused","type":"yes-no","label":"Had any claim under any insurance policy declined or refused in whole or in part?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer if any insurance was cancelled or accepted on special terms","type":"yes-no","label":"Had any insurance cancelled, or accepted on special terms or conditions or rates?","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Address for notification of claims","fields":[{"help":"Provide full address for claim notifications","type":"text","label":"Address for notification of claims","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Special Conditions or endorsements if any","fields":[{"help":"Mention any special conditions or endorsements","type":"text","label":"Special Conditions or endorsements if any","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Warranty","fields":[{"help":"Date of signing declaration","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Signature of the proposer","type":"signature","label":"Proposer's Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Annexure for Cover 1 (Home Building and Contents)","fields":[{"help":"Full name of proposer","type":"text","label":"Name of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Full postal address","type":"text","label":"Address of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Email address","type":"email","label":"Email","options":[],"required":false,"pdf_field":""},{"help":"List all parties with insurable interest","type":"text","label":"Policy to be issued in favour of","options":[],"required":false,"pdf_field":""},{"help":"Start date of insurance","type":"date","label":"Period of Insurance - From","options":[],"required":true,"pdf_field":""},{"help":"Name of nominee","type":"text","label":"Nominee Name","options":[],"required":false,"pdf_field":""},{"help":"Relationship of nominee to insured","type":"text","label":"Relationship with the insured","options":[],"required":false,"pdf_field":""},{"help":"Details of existing policy if any","type":"text","label":"If Yes, please provide the details","options":[],"required":false,"pdf_field":""},{"help":"Select cover required","type":"choice","label":"Cover/s required","options":["Home Building & Home Contents","Home Building Only","Home Contents Only"],"required":true,"pdf_field":""},{"help":"Complete address including pin code","type":"text","label":"Location of Home Building - full postal address with Pin Code","options":[],"required":true,"pdf_field":""},{"help":"Select building type","type":"choice","label":"Is it in a multi-storey building or is it a standalone house?","options":["Multi-storey","Standalone"],"required":true,"pdf_field":""},{"help":"Floor number if applicable","type":"number","label":"In case of multi-storey building, please provide the floor number of Your house","options":[],"required":false,"pdf_field":""},{"help":"Answer Yes or No","type":"yes-no","label":"Is there a basement to Your house?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Current cost rate per square meter","type":"amount","label":"Rate of Cost of Construction per square metre at the policy Commencement Date","options":[],"required":true,"pdf_field":""},{"help":"Calculated sum insured for residential structure","type":"amount","label":"SI for residential structure of Your Home including fittings and fixtures","options":[],"required":true,"pdf_field":""},{"help":"Sum insured for additional structures on same site","type":"amount","label":"SI for additional structures","options":[],"required":false,"pdf_field":""},{"help":"Select age category","type":"choice","label":"Age of Home Building","options":["Less than 5 years","5-10 years","10-20 years","Above 20 years"],"required":true,"pdf_field":""},{"help":"Provide sum insured for furniture, electrical/electronic, others","type":"table","label":"Item wise Sum Insured for General Contents","options":[],"required":false,"pdf_field":""},{"help":"Provide spouse details if cover opted","type":"text","label":"Name & age of Your spouse","options":[],"required":false,"pdf_field":""},{"help":"Provide your age","type":"number","label":"Your age","options":[],"required":false,"pdf_field":""},{"help":"List add-on covers and sum insured","type":"table","label":"Additional/Add-on Covers","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration - Physical Proposal Form","fields":[{"help":"Politically Exposed Person declaration","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 to confirm declarations","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":"Declare any disability with certificate","type":"yes-no","label":"Disability Declaration - Any Physical deformity or handicap","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Farmers Package Insurance covering buildings, contents, farm produce, agricultural pump sets, poultry, carts, tractors, pedal cycles, personal accident, baggage, and related covers.","attachments":["Separate sheet if insufficient space to provide information","Certificate from qualified veterinarian for poultry health (if poultry cover opted)","Valuation certificate for Valuable Contents if sum insured exceeds Rs.5 Lakh or individual item exceeds Rs.1 Lakh","List of items and sum insured for Valuable Contents (if opted)"],"declarations":["The statements made in the 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 liability of the company commences only after acceptance of the proposal and payment of full premium.","Any additions or alterations in the risk after submission must be conveyed immediately.","No rebate of commission or premium is allowed except as per published prospectus or tables.","Premiums are paid from legally acquired sources.","Consent is given for KYC verification and sharing of personal data with group companies.","Policyholder agrees to keep contact and bank details updated for faster service.","Agent/intermediary declares that the proposal form contents have been explained to the proposer in vernacular."],"dropped_labels":41},"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/2600-farmers-package-insurance-proposal-form"}