{"id":5580,"title":"Directors and Officers Liability Protect Plus 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_Plus_Proposal_Form_1ec2468ecb.pdf","sha256":"fec2ce9a53c5a1261ab65e46b307d965e9a528b728a2628c218851bfd9e7f9a9","pages":11,"collected":"2026-10-17","instructions":{"about":"This form is a proposal for Directors and Officers Liability insurance to be filled by the proposer company seeking coverage.","notes":["Fill the proposal form in BLOCK LETTERS.","All details marked with * are mandatory.","The liability of the company commences 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.","Policy issuance is at the sole discretion of the insurer and subject to underwriting policy and terms and conditions.","If the proposal is not accepted, payment received will be refunded without interest.","For electronic insurance account (EIA), email id is mandatory and address details in EIA override those in the proposal.","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 related legislation.","Neither submission of proposal nor payment obliges the insurer to issue a policy."],"title":"Directors and Officers Liability Protect Plus Proposal Form","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Policy and Intermediary 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":"","type":"phone","label":"Intermediary/Agent Contact No.","options":[],"required":null,"pdf_field":""}],"filled_by":""},{"title":"Proposer Details","fields":[{"help":"Full legal name of the proposer company","type":"text","label":"Name of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Official website address of the proposer company","type":"text","label":"Company Website/URL","options":[],"required":false,"pdf_field":""},{"help":"Complete 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":"Provide communication address if different from head office","type":"text","label":"Communication Address","options":[],"required":false,"pdf_field":""},{"help":"Country where the proposer company is registered","type":"text","label":"Country of Registration","options":[],"required":true,"pdf_field":""},{"help":"Date when the proposer company was incorporated or formed","type":"date","label":"Date of incorporation/formation","options":[],"required":true,"pdf_field":""},{"help":"Describe main business activities of the proposer and subsidiaries","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 for coverage","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":"Specify the desired policy coverage period","type":"text","label":"Policy Period","options":[],"required":true,"pdf_field":""},{"help":"Attach list of subsidiaries not in last annual report with country and ownership percentage","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. Please use attachment.","options":[],"required":false,"pdf_field":""},{"help":"Specify the territorial scope for insurance coverage","type":"text","label":"Territorial Scope of Cover required","options":[],"required":true,"pdf_field":""},{"help":"Indicate if proposer name changed in last 12 months","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 of the above questions were answered Yes","type":"text","label":"If “yes” to any of the above please give details","options":[],"required":false,"pdf_field":""},{"help":"Indicate if current D&O liability insurance is in force","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 if applicable","type":"text","label":"If “yes” please state: (a) Insurer","options":[],"required":false,"pdf_field":""},{"help":"Indicate if any insurer declined, cancelled or refused renewal of D&O insurance","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 insurer declined or cancelled coverage","type":"text","label":"If “yes” please give details","options":[],"required":false,"pdf_field":""},{"help":"Indicate if proposer is publicly traded","type":"yes-no","label":"Is the Proposer publicly traded (equity or debt)?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if any subsidiary is publicly traded","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 of publicly traded entities 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":"Total shareholders count","type":"number","label":"Please list for the Company: (a) Total number of shareholders","options":[],"required":true,"pdf_field":""},{"help":"Indicate if company is considering any such changes","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":"Indicate if aware of any such external changes","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":"Indicate if company plans new public offering or listing change","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 questions answered Yes","type":"text","label":"If “yes” to any of the above, please provide specific details","options":[],"required":false,"pdf_field":""},{"help":"Indicate if any such resignations or replacements occurred","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":"Indicate if company is considering such replacements or additions","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 planned replacements or additions","type":"text","label":"If “Yes,” who, title and why?","options":[],"required":false,"pdf_field":""},{"help":"Indicate if company has an internal audit committee","type":"yes-no","label":"Does the Company have an internal Audit Committee?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of audit committee member changes","type":"text","label":"If “yes” to question 20 (c), who and why?","options":[],"required":false,"pdf_field":""},{"help":"Indicate if external auditor changed recently","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 reason and date for auditor change","type":"text","label":"If “yes,” why and when?","options":[],"required":false,"pdf_field":""},{"help":"Indicate if plans to change auditor soon","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 details of planned auditor change","type":"text","label":"If “Yes,” why and to whom?","options":[],"required":false,"pdf_field":""},{"help":"Indicate if auditors recommended accounting changes","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":"Indicate if company changed accounting practices","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":"Indicate if company plans accounting changes","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 accounting changes or plans","type":"text","label":"If “yes,” to (a), (b) or (c) please provide specific details","options":[],"required":false,"pdf_field":""},{"help":"Indicate if financial results were restated","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":"Indicate if company plans significant earnings charge or restatement","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 earnings charge or restatement","type":"text","label":"If “yes,” please provide details","options":[],"required":false,"pdf_field":""},{"help":"Fill employee counts by location and total","type":"table","label":"Please provide the total number of employees for the Company, and a breakdown of employees as follows: Location - Number of employees (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 requesting coverage for US claims","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? (i.e. composition, financial background, independence, required meetings, charter, etc.)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Answer only if requesting coverage for US claims","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 requesting coverage for US claims","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 or requests","type":"text","label":"If “yes,” please provide details","options":[],"required":false,"pdf_field":""},{"help":"Provide total gross assets value in US","type":"amount","label":"Please state total gross assets in the United States","options":[],"required":false,"pdf_field":""},{"help":"Provide CKYC identifier","type":"text","label":"Company’s CKYC Identifier / Number (Generated by CERSAI)","options":[],"required":false,"pdf_field":""},{"help":"Permanent Account Number of the company","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 identifier 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"},{"title":"Claims Information","fields":[{"help":"Indicate if any claims, actions or investigations exist or are pending","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 details of claims or investigations","type":"text","label":"If “yes,” please provide details","options":[],"required":false,"pdf_field":""},{"help":"Indicate if any known acts, errors or omissions that could lead to claims","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 such knowledge or information","type":"text","label":"If “yes,” please provide details","options":[],"required":false,"pdf_field":""},{"help":"Indicate if any prior actions as described exist","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 financial statements","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 filed in last 2 years","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 required periodic reports filed in last 12 months","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 in last year 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 filed in last 12 months 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 CEO and CFO certified financial 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: (i) Copies of financial statements certified by the CEO and CFO","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Provide 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 electronic fund transfer","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 for electronic payment","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 transaction","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":false,"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":"Place of signing","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 of proposer","type":"signature","label":"Signature and Stamp of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Consent for KYC verification","type":"checkbox","label":"I / We hereby give my/our consent to the Company to verify and obtain my/our identity/address proof through Central KYC Registry or Goods and Service Tax Portal or Ministry Of Corporate Affairs Portal or National Securities Depository Limited portal for the purpose of undertaking KYC.","options":["Consent given"],"required":true,"pdf_field":""},{"help":"Anti-money laundering declaration","type":"checkbox","label":"AML DECLARATION: I / We hereby confirm that all premiums have been/will be paid from bonafide sources and no premiums have been /will be paid out of proceeds of crime related to any of the offence listed in Prevention of Money Laundering Act,2002.","options":["Agree"],"required":true,"pdf_field":""},{"help":"Select type of organization","type":"choice","label":"In case of entity, 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":"Indicate if associated with a Politically Exposed Person","type":"yes-no","label":"Are You or any of the proposed applicants or close relatives is/are associated to Politically Exposed Person (PEP)?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if you are a non-profit organization","type":"yes-no","label":"Are you a Non-Profit Organization? (only in case of an entity)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Signature of proposer","type":"signature","label":"Signature of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Signature and stamp of insurance intermediary","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":"Declaration by intermediary for vernacular explanation","type":"checkbox","label":"Vernacular Declaration: I hereby declare that, I have fully explained the contents of the proposal form and terms and conditions of the Policy to the Proposer in the language understood to him/her and that the Proposer has affixed the thumb impression / signature above after fully understanding the contents thereof.","options":["Agree"],"required":true,"pdf_field":""},{"help":"Signature of intermediary or sales person","type":"signature","label":"Signature of Intermediary/ Sales Person","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer and agent"}],"deadlines":[],"applies_to":"Directors and Officers Liability Protect Plus insurance policies","attachments":["List of all subsidiary companies not listed in the company’s last annual report","Latest annual report","Latest interim financial available","Latest audited financials","Any securities registration statements filed with the local government agency during the last 2 years","Any other periodic reports which are required to be filed with the local government agency that regulates securities during the last 12 months","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 (if applicable)","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 (if applicable)","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 (if applicable)","Copies of financial statements certified by the CEO and CFO (if applicable)"],"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.","Consent is given to verify identity/address proof through specified government portals for KYC.","All premiums are 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 found guilty under money laundering statutes.","The proposer agrees that any claim, proceeding or action arising from known claims or investigations disclosed in the form is excluded from coverage unless specifically endorsed.","The intermediary declares that the policy features and terms have been fully explained to the proposer and the proposer has signed after understanding them.","The intermediary declares that the proposal form contents and policy terms have been explained in the proposer’s language and the proposer has signed/thumb-impressed after understanding."],"dropped_labels":17},"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/5580-directors-and-officers-liability-protect-plus-proposal-form"}