{"id":2780,"title":"ART INSURANCE-COMMERCIAL PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/art-insurance/proposal-forms/art-insurance-retail-proposal-form.pdf","sha256":"0bf61485521e6645cb10898cfe773b29b4cfecd6783fe7f05a0261583852f63f","pages":12,"collected":"2026-10-17","instructions":{"about":"This form is used by dealers and galleries to apply for Art Insurance coverage. The proposer (applicant) fills it out with details about their business, premises, stock, and insurance requirements.","notes":["Read the prospectus/key features document/policy wordings before completing the form.","Answer all questions fully; use additional signed and dated sheets if needed.","Cover starts only after acceptance and receipt of premium.","Use block letters where applicable.","Original bills or documents may be required for claims (implied from insurance context).","The proposer must fill the declaration and sign the form.","The insurer may reject or terminate the contract if the proposer is found on any blacklist or sanctions list.","The form includes a Go Green initiative offering digital policy documents; tick box if physical copy is desired."],"title":"ART INSURANCE-COMMERCIAL PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"I – Company Details","fields":[{"help":"","type":"text","label":"Name of the Proposer:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Assureds’/organization/company’s name (as to appear on policy):","options":[],"required":null,"pdf_field":""},{"help":"Central KYC number if available","type":"text","label":"CKYC No. (if available):","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Present Address of the Proposer:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Permanent Address of the Proposer: (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Website Address","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name(s) under which the proposer has previously traded:","options":[],"required":false,"pdf_field":""},{"help":"","type":"number","label":"How many years have you been: i. at your current premises","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"How many employees do you have?","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"What was your annual turnover/sales in your last Financial year?","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"What was your annual gross profit in your last Financial year?","options":[],"required":null,"pdf_field":""},{"help":"","type":"checkbox","label":"I am (please tick all that are applicable)","options":["High Net Worth Individual/s","Non-Residential Indian/s","Politically Exposed Person","Non-Governmental Organisation","Non-Profit Organisation"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If you are an NGO/NPO, please provide Niti Ayog – Darpan Portal Registration Number:","options":[],"required":false,"pdf_field":""},{"help":"If Yes, provide details below","type":"yes-no","label":"If you are Differently Abled, please tick on the checkbox to provide confirmation. ☐Yes  ☐No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"If Differently Abled is Yes","type":"text","label":"Type of Impairment:","options":[],"required":false,"pdf_field":""},{"help":"If Differently Abled is Yes","type":"number","label":"Percentage of Impairment:","options":[],"required":false,"pdf_field":""},{"help":"If Differently Abled is Yes","type":"text","label":"UDID Number:","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"II – Premises","fields":[{"help":"","type":"text","label":"Full Present Address(es) of your trading location(s):","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"List any other locations used by you for the purposes of your business, i.e., for storage, etc:","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Are all the premises used by you for the purposes of your business constructed of brick, stone or concrete, roofed with slates, tiles or other non-combustible materials?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Are the premises: i. in a good state?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Are any of the premises: i. susceptible to or in an area with a history of flooding?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Are your premises self-contained and used solely by you?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Are your premises occupied at night?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Are your premises located within a shopping centre or mall?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Are the premises occupied and trading regularly throughout the year?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Explain any 'Yes' answers above","type":"text","label":"If you have ticked yes for any of the boxes above, please give full details:","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"III - Protections – Trading Location(s)","fields":[{"help":"","type":"yes-no","label":"Is a burglar alarm fitted","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If burglar alarm is fitted","type":"text","label":"Is it connected to the police/central station? If yes, please state method.","options":[],"required":false,"pdf_field":""},{"help":"If burglar alarm is fitted","type":"yes-no","label":"Does it cover all areas containing the insured items?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"If burglar alarm is fitted","type":"yes-no","label":"Is the system maintained annually under contract?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Are the premises protected by CCTV?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If CCTV is fitted","type":"yes-no","label":"Does the CCTV have a recording facility?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"If CCTV is fitted","type":"text","label":"How long are tapes kept before being reused?","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Give full details of how all external or internal doors allowing access to your premises are protected (please state type of locks):","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Give full details of how all windows (including display windows) or skylights are protected (e.g. grilles, bars, security film, type of glass):","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Fire alarm If yes, is it connected to a central station","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Smoke detectors/alarm","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Sprinklers","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Is there a safe or strongroom? If yes, please state Make","options":[],"required":false,"pdf_field":""},{"help":"Safe or strongroom model","type":"text","label":"Model","options":[],"required":false,"pdf_field":""},{"help":"Safe or strongroom weight","type":"number","label":"Approximate weight","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"IV - Protections – Additional Location(s)","fields":[{"help":"","type":"yes-no","label":"Are all additional premises occupied solely by you?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Are all additional premises regularly occupied or inspected?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is entry/exit to/from the premises controlled during business hours?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Are all additional premises fitted with a burglar alarm?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If burglar alarm fitted","type":"yes-no","label":"Is it connected to the police/central station?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"If burglar alarm fitted","type":"yes-no","label":"Does it cover all areas containing the insured items?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"If burglar alarm fitted","type":"yes-no","label":"Is the system maintained annually under contract?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Are all additional premises protected by CCTV?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If CCTV fitted","type":"yes-no","label":"Does the CCTV have a recording facility?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"If CCTV fitted","type":"text","label":"How long are tapes kept before being reused?","options":[],"required":false,"pdf_field":""},{"help":"Explain any 'Yes' answers above","type":"text","label":"If you have ticked any of the shaded boxes above, please give full details:","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Give full details of how all external or internal doors allowing access to all the additional premises are protected (please state type of locks):","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Give full details of how all windows or skylights are protected (e.g. grilles, bars, security film, type of glass):","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Give details of the fire protections for all additional premises:","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"V – Stock Records","fields":[{"help":"","type":"amount","label":"Give the approximate split of your stock and Good in Trust: i. Paintings pre-1960, drawings and prints","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"ii. Paintings post 1960","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"iii. Statues & sculptures of a non-fragile nature, items of non-precious metal or wood","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"iv. Porcelain, pottery, ceramics, glass, jade and other items of a brittle or fragile nature","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"v. Other (give details below)","options":[],"required":false,"pdf_field":""},{"help":"","type":"date","label":"When was your last annual stock take?","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"VI – Cover Required","fields":[{"help":"","type":"amount","label":"Stock a) What is your maximum own stock at cost price?","options":[],"required":null,"pdf_field":""},{"help":"Enter percentage","type":"number","label":"b) What percentage uplift do you require claims for your own stock to be settled?","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"c) What is the maximum value of items on consignment to you and other items in your care, custody and control, including liability for part-owned items, if applicable","options":[],"required":null,"pdf_field":""},{"help":"Sum of above amounts","type":"amount","label":"d) Total Sum Insured (a+b+c)","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Transits & Sendings a) Do you require cover for stock away from your premises within India (not including exhibitions/fairs)?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"If Yes, please state for the last 12 months (not including exhibitions/fairs) i. Maximum value any one location/transit/sending within India","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"ii. Aggregate value of all transits and sendings within the town/city in which your business is located","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"iii. Aggregate value of all other transits and sendings within India","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"iv. Usual carriers used to transit goods within India","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"b) Do you require cover for stock away from your premises outside India (not including exhibitions/fairs)?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"If Yes, please state for the last 12 months (not including exhibitions/fairs) i. Maximum value any one location/transit/sending outside India","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"ii. Aggregate value of all transits and sendings within Asia","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"iii. Aggregate value of all transits and sendings to/from USA","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"iv. Aggregate value of all transits and sendings elsewhere","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"v. Usual carriers used to transit goods outside India","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Exhibitions & Fairs a) Do you require coverage whilst at exhibitions & Fairs?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"List exhibitions with dates, limits, and transit methods","type":"table","label":"If Yes, please give details. Sl. No. Name of Exhibition Date From/To Limit Required Method of Transit to/from","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"b) Interior and exterior glass (at cost of replacement as new)","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"c) Library of Reference Books","options":[],"required":null,"pdf_field":""},{"help":"Sum of above amounts","type":"amount","label":"d) Total (a+b+c)","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Terrorism a) Do you require coverage for terrorism?","options":["YES","NO"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Insurance History","fields":[{"help":"List losses with date, circumstances, and amount","type":"table","label":"State all losses suffered or claims made against you or any Director or Partner (in this or any other name under which you may have been trading) for any of the covers detailed in this proposal form within the last 5 years Date of Loss Circumstances of Loss Amount of Loss","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"What actions have been taken to prevent reoccurrence of each of the above claims?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Has any Insurer ever cancelled or refused to issue or continue any Insurance for you or applied any special terms when renewing your policy?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Has any Principal, Director or Business Partner ever been declared bankrupt, had a company gone into liquidation or become insolvent?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Has any Principal, Director or Business Partner had any convictions, other than for motoring offences?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Explain any 'Yes' answers above","type":"text","label":"If you have ticked any of the shaded boxes above, please provide full details.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Details","fields":[{"help":"","type":"choice","label":"Mode of Payment","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Payment Details","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Amount in (₹)","options":[],"required":null,"pdf_field":""},{"help":"Format DD/MM/YY","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":null,"pdf_field":""},{"help":"Permanent Account Number","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Goods and Services Tax Identification Number","type":"text","label":"GSTIN (If more than one GSTIN, kindly attach an annexure with details)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Bank details of proposer for refund or claim purpose","fields":[{"help":"","type":"text","label":"Name of bank account holder (mention specifically, if different from name of policyholder):","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Bank Name & Branch:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Bank Account Number:","options":[],"required":null,"pdf_field":""},{"help":"Indian Financial System Code","type":"text","label":"IFS Code:","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"","type":"text","label":"Name:","options":[],"required":null,"pdf_field":""},{"help":"Date format DD/MM/YYYY","type":"date","label":"Date of Birth:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Relationship with the proposer:","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile Number:","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"E-Mail ID:","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Address of Nominee: Present address:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Permanent address: ((if left blank, will be construed as being same as Present Address))","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Account Details of Nominee: Name of Account holder:","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Name & Branch:","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Account Number:","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"IFS Code:","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Authorized person details (in case nominee is a minor):","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration by Proposer","fields":[{"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":"","type":"signature","label":"Signature of the Proposer(s) (Affix stamp, where proposer is a juridical person)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Art Insurance for Dealers & Galleries","attachments":["Separate signed and dated sheet if additional space is needed for answers","Annexure with GSTIN details if more than one GSTIN","Request for authorization form to receive Claim/Refund payments if premium paid is more than Rs 10,000/-"],"declarations":["All statements and information provided are complete and accurate with no relevant information withheld.","Misrepresentation or suppression of material facts may render the policy void and premium forfeited.","The insurer adheres to anti-financial crime practices and may verify source of funds and freeze funds if necessary.","Consent is given to receive communications electronically and for processing of personal data as per privacy policy.","The insurer reserves the right to reject the proposal or terminate the contract if the proposer or associated persons are named in any recognized sanctions list.","KYC records are current and valid and proposer will inform insurer of any changes."],"dropped_labels":5},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"grievance","channel":"email","value":"GCIcare@generalicentral.com","label":"HELPLINE Email","level":1,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"atrix given below.\nLEVEL 1\nYou Can Call On Our HELPLINE\n1800-220-233 / 1860-500-3333 / 022-67837800\nOR\nSEND US AN EMAIL\nGCIcare@generalicentral.com\nOur senior citizen policyholders can avail priority support by choosing the valid option from the helpline menu or writ","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-220-233 / 1860-500-3333 / 022-67837800","label":"HELPLINE","level":1,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"may have. You can escalate your concerns as per the\nescalation matrix given below.\nLEVEL 1\nYou Can Call On Our HELPLINE\n1800-220-233 / 1860-500-3333 / 022-67837800\nOR\nSEND US AN EMAIL\nGCIcare@generalicentral.com\nOur senior citizen policyholders can avail priority support by choosing","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Generali Central Insurance Company Ltd.\nUnit No. 301, 3rd Floor Part, Building No. 8,\nMindspace IT/ITES SEZ, MIDC Industrial Area,\nAiravali, Navi Mumbai,\nThane District – 400 708.","label":"Corporate Grievance Redressal Officer (GRO) Address","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mishra\nADDRESS\nGenerali Central Insurance Company Ltd.\nUnit No. 301, 3\nrd\nFloor Part, Building No. 8,\nMindspace IT/ITES SEZ, MIDC Industrial Area,\nAiravali, Navi Mumbai,\nThane District – 400 708.\nLEVEL 3\nIf you are still not satisfied with the solution provided, you can email\nour CEO’s office.\nEMAIL OUR CEO’s OFF","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"GCIGRO@generalicentral.com","label":"Corporate Grievance Redressal Officer (GRO) Email","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"solution provided to you does not meet your expectations,\nyou can write directly to our Corporate GRO.\nSEND US AN EMAIL\nGCIGRO@generalicentral.com\nOR\nCALL US ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mish","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"+91-79001 97777","label":"Corporate Grievance Redressal Officer (GRO) Phone","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"ur expectations,\nyou can write directly to our Corporate GRO.\nSEND US AN EMAIL\nGCIGRO@generalicentral.com\nOR\nCALL US ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mishra\nADDRESS\nGenerali Central In","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/generali-central-insurance/2780-art-insurance-commercial-proposal-form"}