{"id":5578,"title":"Directors and Officers Liability Protect Proposal Form","purpose":"proposal","insurer":{"slug":"zurich-kotak-general-insurance","name":"Zurich Kotak General Insurance Company (India) Limited"},"source_pdf":"https://cms.zurichkotak.com/uploads/Directors_and_Officers_Liability_Protect_Proposal_Form_e9234c7716.pdf","sha256":"99dbaecff4c4626ddea4b9604649a1f9cf46d7e2883ace156e7142ee63db3b5d","pages":11,"collected":"2026-10-17","instructions":{"about":"This form is used by companies (proposers) to apply for Directors and Officers Liability insurance coverage from Zurich Kotak General Insurance Company. The proposer, typically a company or its authorized representative, fills it out.","notes":["Fill the proposal form in BLOCK LETTERS.","All details marked with * are mandatory.","Liability of the company starts only after acceptance of the proposal and receipt of premium.","Provide all information fully, accurately and correctly; non-disclosure or misrepresentation may void the policy.","Attach additional sheets if more space is needed, indicating the question number.","Use original documents for attachments where applicable.","Submission of the proposal or payment does not oblige the company to issue a policy.","If the proposal is not accepted, payment will be refunded without interest.","Politically Exposed Persons (PEPs) are defined as individuals entrusted with prominent public functions by a foreign country.","Non-profit organization is defined as per Income-tax Act, 1961 and Companies Act, 2013.","The policy is subject to the Board approved underwriting policy and terms and conditions of Directors and Officers Liability Protect."],"title":"Directors and Officers Liability Protect Proposal Form","submit":{"to":"Zurich Kotak General Insurance Company (India) Limited","how":"","address":"Registered & Corporate Office: 401, 4th Floor, Silver Metropolis, Jai Coach Compound, Off Western Express Highway, Goregaon (East), Mumbai – 400063, Maharashtra, India"},"purpose":"proposal","sections":[{"title":"Intermediary and Proposer Details","fields":[{"help":"","type":"text","label":"Policy issuing office","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy servicing office","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Intermediary/Agent Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Intermediary License no /Agent code.","options":[],"required":null,"pdf_field":""},{"help":"Provide phone number of intermediary or agent","type":"phone","label":"Intermediary/Agent Contact No.","options":[],"required":null,"pdf_field":""},{"help":"Name of the company applying for insurance","type":"text","label":"Name of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Official website of the proposer company","type":"text","label":"Company Website/URL","options":[],"required":null,"pdf_field":""},{"help":"Full address of the company's head office","type":"text","label":"Address of Head Office","options":[],"required":true,"pdf_field":""},{"help":"Select Yes if communication address is same as head office, else No","type":"yes-no","label":"Is the Communication address same as the Head Office address ?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Fill only if communication address differs from head office","type":"text","label":"Communication Address","options":[],"required":false,"pdf_field":""},{"help":"Country where the company is registered","type":"text","label":"Country of Registration","options":[],"required":true,"pdf_field":""},{"help":"Date when the company was incorporated or formed","type":"date","label":"Date of incorporation/formation","options":[],"required":true,"pdf_field":""},{"help":"Describe main business activities","type":"text","label":"State the principal business activities of the Proposer and its subsidiaries?","options":[],"required":true,"pdf_field":""},{"help":"Specify requested liability limits and jurisdictions","type":"text","label":"Limit(s) of Liability & Jurisdiction(s) being requested","options":[],"required":true,"pdf_field":""},{"help":"Specify the law applicable to the policy","type":"text","label":"Applicable Law","options":[],"required":true,"pdf_field":""},{"help":"Duration for which the policy is requested","type":"text","label":"Policy Period","options":[],"required":true,"pdf_field":""},{"help":"Attach additional sheet with subsidiary details","type":"attachment","label":"Give a complete list of all subsidiary companies not listed in the company’s last annual report, including country of registration and percentage owned by Proposer","options":[],"required":false,"pdf_field":""},{"help":"Specify geographic scope of coverage","type":"text","label":"Territorial Scope of Cover required","options":[],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"During the last twelve months has: (a) the name of the Proposer changed?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details if any above questions answered Yes","type":"text","label":"If “yes” to any of the above please give details","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Does the Company or any director or officer have Directors & Officers Liability Insurance currently in force?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Name of current insurer","type":"text","label":"If “yes” please state: (a) Insurer","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Has the Company ever had any Insurer decline a proposal or cancel or refuse to renew a Directors & Officers Liability Insurance?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details if answered Yes","type":"text","label":"If “yes” please give details","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Is the Proposer publicly traded (equity or debt)?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Is any subsidiary of the Proposer publicly traded (equity or debt)?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Attach details as requested","type":"attachment","label":"If “yes” to question 11 then please specify the following for the Proposer and/or any such subsidiary: Name of entity, Country of formation or incorporation, Each country listed, Each securities exchange/market per country, Type of listing (direct, ADR and level, OTC) and registration number, Percentage of all securities traded and type of security","options":[],"required":false,"pdf_field":""},{"help":"Number of shareholders","type":"number","label":"Please list for the Company: (a) Total number of shareholders","options":[],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Is the Company considering any acquisition, tender offer, merger, buy-out or other change in equity structure?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Is the Company aware of whether any other company or entity is considering an acquisition, tender offer, merger, buy-out or other change in equity structure of which the Proposer or any subsidiary would be a target?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Is the Company intending either a new public offering of securities (equity or debt), or a change in the listing status of its existing securities, within the next year?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details if any above answered Yes","type":"text","label":"If “yes” to any of the above, please provide specific details","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Have any Directors and / or Executive Officers of the Proposer or of any subsidiary of the Proposer incorporated or domiciled in the United States of America resigned or been replaced in the past 12 months?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of resignations or replacements","type":"text","label":"If “Yes,” who, title and why?","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Is the Company considering a replacement or addition of any Directors and Officers of the Proposer or of any subsidiary of the Proposer incorporated or domiciled in the United States of America?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of intended replacements or additions","type":"text","label":"If “Yes,” who, title and why?","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Does the Company have an internal Audit Committee?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"If yes: (a) are all members of the internal Audit Committee independent directors?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide details of resignations or replacements","type":"text","label":"If “yes” to question 20 (c), who and why?","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Has the Company changed its external auditing firm in the past three years?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide reasons and dates","type":"text","label":"If “yes,” why and when?","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Does the Company have any plans to remove or replace its external auditor in the next 12 months?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide reasons and new auditor details","type":"text","label":"If “Yes,” why and to whom?","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Have the Company’s external auditors recommended changes to the revenue recognition or other significant accounting practices in the past 12 months?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Has the Company changed its revenue recognition or other significant accounting practices in the past 12 months?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Has the Company decided that it will change any of its revenue recognition or other significant accounting practices?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of changes","type":"text","label":"If “yes,” to (a), (b) or (c) please provide specific details","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Has the Company ever restated its financial results?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of restatement","type":"text","label":"If “yes,” please provide details","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Does the Company plan to take a significant one time charge to earnings, or restate earnings, within the next 12 months?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of planned charges or restatements","type":"text","label":"If “yes,” please provide details","options":[],"required":false,"pdf_field":""},{"help":"Fill employee counts by location","type":"table","label":"Please provide the total number of employees for the Company, and a breakdown of employees as follows: Location and Number of employees for India/Country where the head office of the Proposer is located, Rest of Continental Europe, United Kingdom, USA, Canada, Rest of the World, Total","options":[],"required":true,"pdf_field":""},{"help":"Answer only if coverage for USA requested","type":"yes-no","label":"Does the Company’s internal audit committee structure and/or procedures comply with U.S. statutes, rules or regulations regarding internal audit committees?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Answer only if coverage for USA requested","type":"yes-no","label":"Are the Company’s financial statements required to be consolidated, or reconciled, in accordance with U.S. Generally Accepted Accounting Principles (GAAP)?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Answer only if question 27 is Yes","type":"yes-no","label":"If “Yes,” to question 27, are the company’s financial statements, generally, in accordance with US GAAP?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Answer only if coverage for USA requested","type":"yes-no","label":"Is the U.S. SEC or U.S. IRS presently investigation or requesting information from the Company or any director or officer of the Company?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide details of investigations","type":"text","label":"If “yes,” please provide details","options":[],"required":false,"pdf_field":""},{"help":"Provide total gross assets value","type":"amount","label":"Please state total gross assets in the United States","options":[],"required":false,"pdf_field":""},{"help":"Provide CKYC number","type":"text","label":"Company’s CKYC Identifier / Number (Generated by CERSAI)","options":[],"required":false,"pdf_field":""},{"help":"Permanent Account Number","type":"text","label":"PAN (mandatory)","options":[],"required":true,"pdf_field":""},{"help":"Goods and Services Tax Identification Number","type":"text","label":"GSTIN","options":[],"required":false,"pdf_field":""},{"help":"Name of authorized signatory","type":"text","label":"Please share the below details for the Authorised Signatory: Name","options":[],"required":true,"pdf_field":""},{"help":"Designation of authorized signatory","type":"text","label":"Please share the below details for the Authorised Signatory: Designation","options":[],"required":true,"pdf_field":""},{"help":"PAN of authorized signatory","type":"text","label":"Please share the below details for the Authorised Signatory: PAN","options":[],"required":true,"pdf_field":""},{"help":"CKYC number of authorized signatory","type":"text","label":"Please share the below details for the Authorised Signatory: CKYC Identifier / Number (Generated by CERSAI)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer or intermediary/agent"},{"title":"Claims Information","fields":[{"help":"Select Yes or No","type":"yes-no","label":"Has there been or is there now pending any claim(s) or actions against or investigation(s) of: (i) the Company thereof; and/or (ii) any person proposed for insurance in his or her capacity as a director or officer of any Company?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide claim or investigation details","type":"text","label":"If “yes,” please provide details","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Does any directors or officers of the company, the General Counsel (or equivalent person) of the company and the risk manager of the company have any knowledge or information of any act, error or omission which could reasonably give rise to a claim, investigation or action under the proposed policy, except as follows: (Attach complete details.)","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of knowledge or information","type":"text","label":"If “yes,” please provide details","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Has any person or entity proposed for coverage : (i) been involved in any antitrust, copyright or patent litigation; (ii) been charged in any civil, criminal, administrative or regulatory action or proceeding, with a violation of any India or state or foreign law (whether national or federal), rule or regulation governing antitrust, fair trade or securities; or (iii) been involved in any representative actions, class actions, or derivative suits (any of which in (i), (ii) or (iii) being a “Prior Action”)?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of prior actions","type":"text","label":"If “yes,” please provide details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Documentation","fields":[{"help":"Attach latest annual report","type":"attachment","label":"Provide copies of the following for the Company: (a) Latest annual report","options":[],"required":true,"pdf_field":""},{"help":"Attach latest interim financials","type":"attachment","label":"Provide copies of the following for the Company: (b) Latest interim financial available","options":[],"required":true,"pdf_field":""},{"help":"Attach latest audited financial statements","type":"attachment","label":"Provide copies of the following for the Company: (c) Latest audited financials","options":[],"required":true,"pdf_field":""},{"help":"Attach securities registration statements if any","type":"attachment","label":"Provide copies of the following for the Company: (d) Any securities registration statements filed with the local government agency during the last 2 years","options":[],"required":false,"pdf_field":""},{"help":"Attach other periodic reports if any","type":"attachment","label":"Provide copies of the following for the Company: (e) Any other periodic reports which are required to be filed with the local government agency that regulates securities during the last 12 months","options":[],"required":false,"pdf_field":""},{"help":"Attach latest 20-F filing if applicable","type":"attachment","label":"If the Company has any securities (equity or debt) listed or traded in the United States of America, then: (f) Latest 20-F filed with the U.S. Securities and Exchange Commission (U.S. SEC) or similar U.S. state agency or non-U.S. agency","options":[],"required":false,"pdf_field":""},{"help":"Attach all 6-K filings if applicable","type":"attachment","label":"If the Company has any securities (equity or debt) listed or traded in the United States of America, then: (g) All 6-K’s filed with the U.S. SEC (or similar U.S. state agency or non-U.S. agency) within the last year","options":[],"required":false,"pdf_field":""},{"help":"Attach all F-1 or registration statements if applicable","type":"attachment","label":"If the Company has any securities (equity or debt) listed or traded in the United States of America, then: (h) All F-1’s or registration statements filed with the U.S. SEC (or similar U.S. state agency or non-US agency) within the last twelve months","options":[],"required":false,"pdf_field":""},{"help":"Attach certified financial statements","type":"attachment","label":"If the Company has any securities (equity or debt) listed or traded in the United States of America, then: (i) Copies of financial statements certified by the CEO and CFO","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details and Bank Account Information","fields":[{"help":"Cheque or Demand Draft number if applicable","type":"text","label":"Cheque / D.D #","options":[],"required":false,"pdf_field":""},{"help":"Amount drawn on cheque or draft","type":"amount","label":"Drawn Amount","options":[],"required":false,"pdf_field":""},{"help":"Bank account number for refund or claims","type":"text","label":"Account Number","options":[],"required":false,"pdf_field":""},{"help":"Name of bank or entity cheque/draft is drawn to","type":"text","label":"Drawn To","options":[],"required":false,"pdf_field":""},{"help":"Bank IFSC or MICR code","type":"text","label":"IFSC/MICR Code","options":[],"required":false,"pdf_field":""},{"help":"Name of bank","type":"text","label":"Bank Name","options":[],"required":false,"pdf_field":""},{"help":"Bank branch name","type":"text","label":"Bank and Branch Name","options":[],"required":false,"pdf_field":""},{"help":"Name of account holder","type":"text","label":"Account Holder name","options":[],"required":false,"pdf_field":""},{"help":"Reference number for electronic payment","type":"text","label":"Transaction Reference No","options":[],"required":false,"pdf_field":""},{"help":"Date of transaction","type":"date","label":"Transaction Date","options":[],"required":false,"pdf_field":""},{"help":"Indicate if you have an Electronic Insurance Account","type":"yes-no","label":"Do you have an EIA Account","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide EIA number if applicable","type":"text","label":"If Yes, please quote EIA Number","options":[],"required":false,"pdf_field":""},{"help":"Name of insurance repository for EIA","type":"text","label":"Please mention name of Insurance Repository","options":[],"required":false,"pdf_field":""},{"help":"Indicate if you want an EIA account created","type":"yes-no","label":"If No, do you want Us to create an EIA account for you","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Email registered with insurance repository","type":"email","label":"Email id (Registered with Insurance Repository)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Consents","fields":[{"help":"Confirm premiums paid from bonafide sources","type":"checkbox","label":"AML Declaration","options":[],"required":true,"pdf_field":""},{"help":"Select applicable organization type","type":"choice","label":"Type of Organization making the payment","options":["Limited Company","Government Organization","Non-Government Organization (NGO)","Society","Trust","Partnership","International Organization","Co-operatives","Section 25 Company","Others"],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Are You or any of the proposed applicants or close relatives associated to Politically Exposed Person (PEP)?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Are you a Non-Profit Organization? (only in case of an entity)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Location where form is signed","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Signature and company stamp","type":"signature","label":"Signature and Stamp of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Agent to sign confirming explanation of policy terms","type":"signature","label":"Declaration for Agent","options":[],"required":true,"pdf_field":""},{"help":"Agent or intermediary signature and stamp","type":"signature","label":"Signature & Stamp as applicable of the Insurance Advisor/ Specified person of Corporate Agent/Authorised Employee of Broker/ Sales person","options":[],"required":true,"pdf_field":""},{"help":"Signature of proposer and intermediary confirming explanation in local language","type":"signature","label":"Vernacular Declaration","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer and agent"}],"deadlines":[],"applies_to":"Directors and Officers Liability Protect insurance policies","attachments":["Additional sheets for subsidiary companies not listed in last annual report","Latest annual report","Latest interim financials","Latest audited financials","Securities registration statements filed with local government agency during last 2 years","Other periodic reports filed with securities regulator during last 12 months","Latest 20-F filed with U.S. SEC (if applicable)","All 6-K filings with U.S. SEC within last year (if applicable)","All F-1 or registration statements filed with U.S. SEC within last 12 months (if applicable)","Copies of financial statements certified by CEO and CFO"],"declarations":["The statements made in this Proposal Form are true to the best of the proposer’s knowledge and belief and form the basis of the contract.","The proposer consents to receive policy and service communication in soft copy unless physical copy is requested.","The proposer consents to identity/address verification through specified government portals for KYC purposes.","All premiums have been or will be paid from bonafide sources and not from proceeds of crime under the Prevention of Money Laundering Act, 2002.","The insurance company may cancel the contract if the proposer is found guilty under money laundering laws.","The agent declares that the policy features and terms have been fully explained to the proposer.","The vernacular declaration confirms the proposer has understood the proposal form and policy terms in their language."],"dropped_labels":21},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"email","value":"care@zurichkotak.com","label":"Email Address","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"in\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is chat only number.\nAccessibility\nZoom in page\nZoom out page\nIncrea","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800 2120","label":"Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"age claims\nCustomer support\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is cha","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"+91-22-69417220","label":"Toll Number (INDIA And Overseas)","level":null,"hours":"IST 8 am to 8 pm","applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"Download policy\nManage policy\nManage claims\nCustomer support\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"whatsapp","value":"7998879988","label":"WhatsApp Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"t\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is chat only number.\nAccessibilit","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"grievanceofficer@zurichkotak.com","label":"Grievance Officer","level":1,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"om .\nIn case the I nsured is not satisfied with the response, I nsured may contact the Grievance Officer of the ZKGI at grievanceofficer@zurichkotak.com . In case if the I nsured is not satisfied with the solution the\nGrievance Officer has provided, | I nsured | can write","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Unit no. 401, 4th Floor, Silver Metropolis, Jai Coach Compound, Off Western Express Highway, Goregaon (East) Mumbai- 400063. Maharashtra, India.","label":"Registered & Corporate Office","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/","quote":"ker\nHealth portability\nResearch & Reports\nCorrespondence Address\nZurich Kotak General Insurance Company (India) Limited\nUnit no. 401, 4th Floor, Silver Metropolis,\nJai Coach Compound, Off Western Express Highway,\nGoregaon (East) Mumbai- 400063. Maharashtra, India.\nConnect with us\n: 022 - 69417220 (Toll number)\n: 1800 2120 (Toll free)\n+91-22-69417220 (IST 8 am to 8 pm)\nwww.zurichkot","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"care@zurichkotak.com","label":"Customer Care Email","level":null,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"may contact the respective branch office of the ZKGI or may call toll free number 1800 2120 or may write an e - mail at care@zurichkotak.com .\nIn case the I nsured is not satisfied with the response, I nsured may contact the Grievance Officer of the ZKGI at gr","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"url","value":"www.zurichkotak.com","label":"Grievance Redressal Process","level":null,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"nder.\nThe details of the Insurance Ombudsman/ complete Grievance Redressal Process is also available at ZKGI’s website: www.zurichkotak.com\nThe updated details of Insurance Ombudsman offices are also available on the website of | Council for\nInsurance Ombudsm","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/zurich-kotak-general-insurance/5578-directors-and-officers-liability-protect-proposal-form"}