{"id":5602,"title":"Long Term Car Secure - 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/Long_Term_Car_Secure_Proposal_Form_ZK_V1_25_26_03092025_8924f5d72f.pdf","sha256":"a9bfd5b96efd50d03921636ac11c8206b923ec5122d6f617beb0637a345e4ec9","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is a proposal for purchasing or renewing a Long Term Car Secure insurance policy. It is filled by the proposer (vehicle owner or insured).","notes":["Use block letters to fill the form.","Attach original bills for depreciation cover claims.","Submit proof of No Claim Bonus if entitled.","If you do not wish to receive marketing calls, submit a Do Not Call (DNC) form along with this form.","Compulsory Personal Accident Cover for owner-driver is mandatory unless exempted with proof.","Provide additional sheets if space is insufficient for nominee details.","Email ID is mandatory for Electronic Insurance Account registration.","The proposer shall be classified as High Net Worth Individual only if the relevant box is ticked."],"title":"Long Term Car Secure - Proposal Form","submit":{"to":"Zurich Kotak General Insurance Company (India) Limited","how":"post / e-mail / upload","address":"401, 4th Floor, Silver Metropolis, Jai Coach Compound, Off Western Express Highway, Goregaon (East), Mumbai - 400063, Maharashtra, India; Email: care@zurichkotak.com"},"purpose":"proposal","sections":[{"title":"Proposal Details","fields":[{"help":"","type":"choice","label":"Proposal for:","options":["Renewal","New","Rollover","Endorsement"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Type of cover:","options":["Comprehensive","Act & Theft","Act, Theft and Fire","Theft and Fire","Act Only","OD Only"],"required":true,"pdf_field":""},{"help":"Date when the policy coverage begins","type":"date","label":"Policy Start Date","options":[],"required":true,"pdf_field":""},{"help":"Date when own damage coverage ends, at midnight","type":"date","label":"Policy End Date (for Own Damage Section)","options":[],"required":true,"pdf_field":""},{"help":"Date when third party liability coverage ends, at midnight","type":"date","label":"Policy End Date (for Third Party Liability Section)","options":[],"required":true,"pdf_field":""},{"help":"Date when compulsory personal accident coverage ends, at midnight","type":"date","label":"Policy End Date (for Compulsory PA Section)","options":[],"required":true,"pdf_field":""},{"help":"Total premium amount payable","type":"amount","label":"Total Premium","options":[],"required":true,"pdf_field":""},{"help":"List any optional add-ons you want","type":"text","label":"Please specify the details of Add-ons you wish to opt for","options":[],"required":false,"pdf_field":""},{"help":"Select number of claims for depreciation cover","type":"choice","label":"OPTIONAL ADD ONS - Depreciation Cover (if opted) - No. of claims","options":["`1000","`2000","`3000","NA"],"required":false,"pdf_field":""},{"help":"Select voluntary deductible amount","type":"choice","label":"Voluntary Deductible if any under Depreciation Cover","options":["2","3","Any other option"],"required":false,"pdf_field":""},{"help":"Enter vehicle make, model and variant","type":"text","label":"Vehicle Make/Model/ Variant","options":[],"required":true,"pdf_field":""},{"help":"Specify if vehicle uses CNG/LPG/Bi Fuel","type":"choice","label":"CNG/LPG/Bi Fuel","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Specify fuel type","type":"text","label":"Fuel Type","options":[],"required":true,"pdf_field":""},{"help":"Number of seats in the vehicle","type":"number","label":"Seating Capacity","options":[],"required":true,"pdf_field":""},{"help":"Enter registration authority and RTO location","type":"text","label":"Registration Authority and RTO Location","options":[],"required":true,"pdf_field":""},{"help":"Date of invoice if vehicle is new","type":"date","label":"Invoice Date for New Vehicle","options":[],"required":false,"pdf_field":""},{"help":"Vehicle registration date","type":"date","label":"Date of Registration","options":[],"required":true,"pdf_field":""},{"help":"Vehicle registration number","type":"text","label":"Registration No.","options":[],"required":true,"pdf_field":""},{"help":"Type of vehicle body","type":"text","label":"Type of body","options":[],"required":true,"pdf_field":""},{"help":"Engine cubic capacity or kWh for electric vehicles","type":"number","label":"Cubic Capacity / kWh (in case of EV)","options":[],"required":true,"pdf_field":""},{"help":"Year vehicle was manufactured","type":"number","label":"Year of Manufacture","options":[],"required":true,"pdf_field":""},{"help":"Engine number of the vehicle","type":"text","label":"Engine Number","options":[],"required":true,"pdf_field":""},{"help":"Chassis number of the vehicle","type":"text","label":"Chassis Number","options":[],"required":true,"pdf_field":""},{"help":"Color of the vehicle","type":"text","label":"Color of Vehicle","options":[],"required":true,"pdf_field":""},{"help":"Declared value of the vehicle for insurance","type":"amount","label":"*Insured Declared Value of the Vehicle (in `)","options":[],"required":true,"pdf_field":""},{"help":"Value of non-electrical accessories fitted","type":"amount","label":"*Non - Electrical Accessories fitted to the Vehicle (in `)","options":[],"required":false,"pdf_field":""},{"help":"Value of trailer if any","type":"amount","label":"*Trailer (in `)","options":[],"required":false,"pdf_field":""},{"help":"Total value including vehicle and accessories","type":"amount","label":"*Total Value (in `)","options":[],"required":true,"pdf_field":""},{"help":"Value of CNG/LPG kit if fitted","type":"amount","label":"*CNG/LPG Kit (in `)","options":[],"required":false,"pdf_field":""},{"help":"Value of electrical and electronic accessories fitted","type":"amount","label":"*Electrical & Electronic Accessories fitted to the Vehicle (in  `)","options":[],"required":false,"pdf_field":""},{"help":"Age of the vehicle in years","type":"number","label":"Age of The Vehicle","options":[],"required":true,"pdf_field":""},{"help":"Depreciation percentage as per vehicle age","type":"number","label":"% of Depreciation for fixing IDV","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Proposer Information","fields":[{"help":"Full name of the proposer","type":"text","label":"Name*","options":[],"required":true,"pdf_field":""},{"help":"Select appropriate title","type":"choice","label":"Title: Mr/Ms/Mrs/Others","options":["Mr","Ms","Mrs","Others"],"required":false,"pdf_field":""},{"help":"Permanent address of insured","type":"text","label":"Insured Permanent Address* (where vehicle is normally kept)","options":[],"required":true,"pdf_field":""},{"help":"Select gender","type":"choice","label":"Gender","options":["Male","Female","Others"],"required":false,"pdf_field":""},{"help":"Date of birth of proposer","type":"date","label":"Date of Birth*","options":[],"required":true,"pdf_field":""},{"help":"Correspondence address if different","type":"text","label":"If Correspondence Address different from Permanent Address, please provide*","options":[],"required":false,"pdf_field":""},{"help":"Select nationality","type":"choice","label":"Nationality*","options":["Indian","Non-Indian","NRI"],"required":true,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile No.*","options":[],"required":true,"pdf_field":""},{"help":"Select marital status","type":"choice","label":"Marital Status","options":["Single","Married","Others"],"required":false,"pdf_field":""},{"help":"Occupation of proposer","type":"text","label":"Occupation","options":[],"required":false,"pdf_field":""},{"help":"GST Identification Number if applicable","type":"text","label":"GSTIN","options":[],"required":false,"pdf_field":""},{"help":"Permanent Account Number","type":"text","label":"PAN*","options":[],"required":true,"pdf_field":""},{"help":"Tick if submitting Form 60 instead of PAN","type":"checkbox","label":"/ Form 60 (only in case the customer does not have PAN No.)","options":[],"required":false,"pdf_field":""},{"help":"Central KYC identifier number","type":"text","label":"CKYC Identifier / Number (Generated by CERSAI)","options":[],"required":false,"pdf_field":""},{"help":"Tick applicable identity and address proofs","type":"checkbox","label":"Proof of Identity (POI) and Proof of Address (POA) [(ü) Tick whichever is applicable]","options":["PAN","Ration Card","Passport","Driving Licence","Voter ID Card","Others (Please specify)"],"required":true,"pdf_field":""},{"help":"Select if existing customer","type":"choice","label":"Are you an existing Kotak Group customer?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Employee ID if applicable","type":"text","label":"If existing Zurich / Kotak Group Employee, Please specify Employee ID","options":[],"required":false,"pdf_field":""},{"help":"Select if you want policy copy by email","type":"choice","label":"Would you like to opt for soft copy of policy","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide CRN or policy number if opting soft copy","type":"text","label":"If Yes, Please specify CRN / Zurich Kotak General Insurance Policy No.","options":[],"required":false,"pdf_field":""},{"help":"Select annual income range","type":"choice","label":"Annual Income","options":["Upto 2.5 lacs","2.5 - 6 lacs","6 - 10 lacs","10 - 15 lacs","15 - 20 lacs","20 - 25 lacs",">25 lacs"],"required":false,"pdf_field":""},{"help":"Enter profession","type":"text","label":"Profession","options":[],"required":false,"pdf_field":""},{"help":"Email address","type":"email","label":"Email","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Third Party (TP) Policy Details","fields":[{"help":"Name of current third party insurer","type":"text","label":"Name of Insurer","options":[],"required":false,"pdf_field":""},{"help":"Third party policy number","type":"text","label":"Policy No.","options":[],"required":false,"pdf_field":""},{"help":"Start date of third party policy","type":"date","label":"Policy Start Date","options":[],"required":false,"pdf_field":""},{"help":"End date of third party policy","type":"date","label":"Policy End Date","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Do you wish to restrict Third Party Property Damage of `7.5 Lakh to the statutory TPPD liability limit of `6,000/- only?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Do you wish to cover legal liability? A) Paid Driver/ Cleaner/ Conductor (IMT 28)","options":[],"required":false,"pdf_field":""},{"help":"Number of persons covered under legal liability","type":"number","label":"If yes, no. of persons","options":[],"required":false,"pdf_field":""},{"help":"Number of other employees covered","type":"number","label":"If yes, no. of persons","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Do you wish to include Personal Accident cover for the Named passenger? (IMT 15)","options":[],"required":false,"pdf_field":""},{"help":"Number of named passengers covered","type":"number","label":"No. of Persons (As per Seating Capacity)","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Do you wish to include Personal Accident cover for the Un-named Passengers? (IMT 16)","options":[],"required":false,"pdf_field":""},{"help":"Compulsory PA cover for owner-driver is mandatory unless exempted","type":"yes-no","label":"Compulsory Personal Accident (PA) Cover for owner-driver","options":[],"required":true,"pdf_field":""},{"help":"Tick if owner-driver has separate PA cover","type":"yes-no","label":"I hereby declare that the Owner Driver does not require Compulsory Personal Accident Cover as Owner Driver has a separate existing Personal Accident cover against Death and Permanent Disability (Total and Partial) for Sum Insured of atleast 15 lacs.","options":[],"required":false,"pdf_field":""},{"help":"Tick if vehicle is not individually owned","type":"checkbox","label":"The Vehicle to be insured is not owned by an individual.","options":[],"required":false,"pdf_field":""},{"help":"Tick if owner driver lacks valid license","type":"checkbox","label":"The Owner Driver does not have an effective driving license.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Full name of nominee","type":"text","label":"Nominee Name*","options":[],"required":true,"pdf_field":""},{"help":"Relationship to proposer","type":"text","label":"Relationship of Nominee with Proposer*","options":[],"required":true,"pdf_field":""},{"help":"Date of birth of nominee","type":"date","label":"Nominee Date of Birth DD/MM/YYYY*","options":[],"required":true,"pdf_field":""},{"help":"Mobile number of nominee","type":"phone","label":"Nominee Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"Email address of nominee","type":"email","label":"Nominee Email ID","options":[],"required":false,"pdf_field":""},{"help":"Current address of nominee","type":"text","label":"Nominee Present Address","options":[],"required":false,"pdf_field":""},{"help":"Permanent address of nominee","type":"text","label":"Nominee Permanent Address","options":[],"required":false,"pdf_field":""},{"help":"Bank details of nominee","type":"text","label":"Nominee Bank Name and Account Details","options":[],"required":false,"pdf_field":""},{"help":"Percentage share of claim for nominee","type":"number","label":"% of claim share*","options":[],"required":true,"pdf_field":""},{"help":"Name and details of appointee if nominee is minor","type":"text","label":"Where Nominee is a minor, give details of Appointee","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other Information","fields":[{"help":"Select yes or no","type":"yes-no","label":"Is extension of geographical area required? (Bangladesh /Bhutan /Maldives / Nepal / Pakistan / Sri Lanka)","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Is the vehicle fitted with fiber glass tank","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Is the vehicle self-owned?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"The vehicle belongs to foreign embassy/consulate?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Use of my vehicle is limited to own premise?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Is the vehicle used for Commercial purposes?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Is the vehicle used for driving tuition?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no and attach proof if yes","type":"yes-no","label":"Are you entitled to No Claim Bonus? If yes, please submit proof thereof.","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Do you want Extension for Rally Cover?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Is the vehicle fitted with the any Anti-theft device approved by the ARAI?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Is the car certified as Vintage car by Vintage and Classic Car Club of India?","options":[],"required":false,"pdf_field":""},{"help":"Select voluntary deductible amount","type":"choice","label":"Do you wish to opt for voluntary deductible over and above compulsory deductible? if yes, please state the amount:","options":["`2,500","`5,000","`2,700","`5,200","`7,500","`15,000"],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"The vehicle is designed for use of Blind / Handicapped / Mentally Challenged persons and duly endorsed as such by RTA?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Are you a member of Automobile Association of India (AAI)?","options":[],"required":false,"pdf_field":""},{"help":"Membership number","type":"text","label":"Membership Number","options":[],"required":false,"pdf_field":""},{"help":"Membership expiry date","type":"date","label":"Date of Expiry","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Is the vehicle chauffer driven","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Driver","fields":[{"help":"Name of driver","type":"text","label":"Driver's Name","options":[],"required":false,"pdf_field":""},{"help":"Date of accident or loss","type":"date","label":"Date of Accident Loss","options":[],"required":false,"pdf_field":""},{"help":"Describe accident or claim circumstances","type":"text","label":"Circumstances of Accident/ claim","options":[],"required":false,"pdf_field":""},{"help":"Amount of loss or cost","type":"amount","label":"Loss/ cost (`)","options":[],"required":false,"pdf_field":""},{"help":"Age and DOB of owner driver","type":"text","label":"Age and Date of Birth: Owner Driver","options":[],"required":false,"pdf_field":""},{"help":"Declare any physical infirmity","type":"text","label":"I or my driver suffer from defective vision or hearing or any physical infirmity? if yes please give details:","options":[],"required":false,"pdf_field":""},{"help":"Declare any previous driving offences","type":"text","label":"There is a previous history of driving offences (involved / convicted for causing any accident of loss) by me or my drivers: if yes please give details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Electronic Insurance Account Details of Proposer","fields":[{"help":"Indicate if you have an Electronic Insurance Account","type":"yes-no","label":"Do you have an EIA Account","options":[],"required":true,"pdf_field":""},{"help":"Provide EIA number if available","type":"text","label":"If Yes, please quote EIA Number","options":[],"required":false,"pdf_field":""},{"help":"Email for EIA registration","type":"email","label":"Email id (to be registered with Insurance Repository)","options":[],"required":true,"pdf_field":""},{"help":"Indicate if you want a new EIA account created","type":"yes-no","label":"If No, do you want Us to create an EIA account for you (If Yes, please fill up Insurance Repository Application form)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Bank Details","fields":[{"help":"Tick if cancelled cheque submitted","type":"checkbox","label":"Details as per premium cheque to be used for electronic fund transfer; Cancelled cheque submitted of other bank","options":[],"required":false,"pdf_field":""},{"help":"Bank account number","type":"text","label":"Account Number","options":[],"required":false,"pdf_field":""},{"help":"Name of bank","type":"text","label":"Bank Name","options":[],"required":false,"pdf_field":""},{"help":"Name of account holder","type":"text","label":"Account Holder name","options":[],"required":false,"pdf_field":""},{"help":"Cheque or demand draft number","type":"text","label":"Cheque / D.D #","options":[],"required":false,"pdf_field":""},{"help":"Bank and branch name on cheque/DD","type":"text","label":"Drawn to Bank and Branch Name","options":[],"required":false,"pdf_field":""},{"help":"Transaction reference number for card payment","type":"text","label":"For Credit/Debit Card - Transaction Reference No:","options":[],"required":false,"pdf_field":""},{"help":"Date of transaction","type":"date","label":"Date","options":[],"required":false,"pdf_field":""},{"help":"Bank IFSC or MICR code","type":"text","label":"IFSC/MICR Code","options":[],"required":false,"pdf_field":""},{"help":"Amount drawn","type":"amount","label":"Drawn Amount","options":[],"required":false,"pdf_field":""},{"help":"Date of transaction","type":"date","label":"Transaction Date","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Declarations","fields":[{"help":"Declare if associated with PEP","type":"yes-no","label":"Are You or any of the proposed applicants or close relatives is/are associated to Politically Exposed Person (PEP)?*","options":[],"required":false,"pdf_field":""},{"help":"Declare if non-profit organization","type":"yes-no","label":"Are you a Non-Profit Organization?*(only in case of an entity)","options":[],"required":false,"pdf_field":""},{"help":"Select type of organization if applicable","type":"choice","label":"Type of Organisation making the payment:","options":["Trust","Partnership","Government Organisation","Co-operatives","Non-Government Organisation (NGO)","Section 25 Company","Society","Others"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration and Consent","fields":[{"help":"Sign or affix thumb impression","type":"signature","label":"Signature/Thumb impression of Proposer*","options":[],"required":true,"pdf_field":""},{"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":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Long Term Car Secure insurance policies for private vehicles","attachments":["Proof of Identity (POI) and Proof of Address (POA)","Proof of No Claim Bonus (if entitled)","Bills for depreciation cover (if applicable)","Do Not Call (DNC) form (if not consenting to calls)","Insurance Repository Application form (if creating EIA account)"],"declarations":["The information provided in this proposal form is true and forms the basis of the insurance contract.","Any changes after submission must be immediately conveyed to the insurer.","A valid Pollution Under Control (PUC) Certificate/Fitness Certificate must be declared and maintained throughout the policy.","Consent is given to receive communications from the insurer via phone, SMS, email, etc., unless a DNC form is submitted.","Consent is given to verify identity/address through government registries for KYC purposes.","The proposer understands the proposal form and policy terms as explained by the sales representative.","If the proposer is a person with disability, an authorized representative may assist and declare on their behalf.","The proposer declares correctness of No Claim Bonus claimed and understands benefits will be forfeited if incorrect.","All premiums are paid from bonafide sources and not from proceeds of crime; insurer may verify source of funds.","Rebates or inducements in insurance premiums are prohibited by law."],"dropped_labels":4},"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/5602-long-term-car-secure-proposal-form"}