{"id":567,"title":"INDUSIND MOTOR VEHICLE EXTENDED WARRANTY & PROTECTION FOR PASSENGER AND GOODS CARRYING COMMERCIAL VEHICLES (HYBRID AND EV)","purpose":"claim","insurer":{"slug":"indusind-general-insurance","name":"IndusInd General Insurance Company Limited"},"source_pdf":"https://www.indusindinsurance.com/downloads/indusind-motor-vehicle-extended-warranty-for-commercial-vehicles-hybrid-and-ev-claim-form","sha256":"5413ebef9e9ab916545b0c11468eca9829f9bb34cce8ec5251cadca957e957a8","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is for filing a claim under the IndusInd Motor Vehicle Extended Warranty for commercial hybrid and electric vehicles. It is filled by the insured vehicle owner or policyholder.","notes":["Answer all questions fully and correctly; mention 'not applicable' where needed","Use original documents only","Attach separate sheet if space is insufficient","Payments to insured are only through electronic mode as per IRDAI","Attach copy of signed cancelled cheque for bank details","Improper or delayed intimation to call centre can lead to delay or denial of claim","For preferred cashless garage list, check website or customer care","Any agent/surveyor may examine the insured asset as required","Failure to produce proper service records or comply with requirements may lead to repudiation of claim"],"title":"INDUSIND MOTOR VEHICLE EXTENDED WARRANTY & PROTECTION FOR PASSENGER AND GOODS CARRYING COMMERCIAL VEHICLES (HYBRID AND EV)","submit":{"to":"Call Centre at 022 48903009 (paid No.)","how":"Call immediately to intimate claim","address":""},"purpose":"claim","sections":[{"title":"Vehicle Details","fields":[{"help":"","type":"text","label":"Master Policy Holder Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim Form No.","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Vehicle Make","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Vehicle Model & Variant","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Cubic Capacity","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"RTO Authority","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Vehicle Registration Number","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date of Registration","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Gross Vehicle Weight (GVW) / Cubic Capacity (C.C.)","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Vehicle Sub Class","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Goods Type (applicable only if GVW + 7500 KGs)","options":["Hazardous Goods","Non Hazardous Goods"],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Max. Licensed carrying capacity (No. of Passengers) in case of Passenger carrying vehicles","options":[],"required":null,"pdf_field":""},{"help":"Complete number","type":"text","label":"Engine Number / EV Motor Number: (Please fill in complete number)","options":[],"required":null,"pdf_field":""},{"help":"Complete number","type":"text","label":"Chassis Number: (Please fill in complete number)","options":[],"required":null,"pdf_field":""},{"help":"Complete number","type":"text","label":"EV Battery Number (Please fill in complete number)","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"EV Battery Capacity in kWh","options":[],"required":null,"pdf_field":""},{"help":"Complete number","type":"text","label":"EV Charger Number (Please fill in complete number)","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date of Purchase of the Vehicle by the proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Body Type","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Odometer Reading","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Vehicle Category (for PCV)","options":["Bus","Taxi"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Vehicle Usage Type (applicable if Bus)","options":["Contract Carriage","Stage Carriage","Private Usage"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Vehicle Usage Sub Type (applicable if Contract Carriage)","options":["School Bus","Employee Pickup Bus","Others"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Vehicle Driven By","options":["Self","Driver"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Whether the vehicle at the time of purchase was","options":["New","Second Hand"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Vehicle Fuel Type","options":["Petrol","Diesel","Others"],"required":null,"pdf_field":""}],"filled_by":""},{"title":"Additional Vehicle Information","fields":[{"help":"","type":"yes-no","label":"Whether the Vehicle is driven by Non – conventional Source of Power","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select applicable if above is Yes","type":"choice","label":"If Yes: Bi Fuel, CNG, LPG","options":["Bi Fuel","CNG","LPG"],"required":null,"pdf_field":""},{"help":"Attach self-attested RC copy if Yes","type":"yes-no","label":"Whether the Vehicle is design for use of Blind/Handicapped/Mentally Challenged Person? (Attach self – attested RC Copy)","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":""},{"title":"Details of the Insured","fields":[{"help":"","type":"choice","label":"Insured Type","options":["Individual","Company"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Insureds Full Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Correspondence Address (Where vehicle is going to be kept) - Flat / Building","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Claim Details","fields":[{"help":"","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date of Loss","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Please tick the Category of Claim","options":["Section I Extended Warranty","Enhancement Cover","Section II EV Battery Protection Cover","EV Screen Damage Cover"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Please tick the addon cover you wish to claim under","options":["Consumable Expenses","Daily Allowance Benefit","Assistance Covers"],"required":null,"pdf_field":""},{"help":"Give full and detailed particulars; attach separate sheet if needed","type":"text","label":"How and when did the breakdown occur?","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Please provide details of the routine maintenance servicing and any other servicing/repair that have been conducted","options":[],"required":null,"pdf_field":""},{"help":"₹ amount","type":"amount","label":"Estimated cost of claim","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Details of any other motor extended warranty policy","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Details of Motor Own Damage cover if any","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Garage/ Repairer details - Name","options":[],"required":false,"pdf_field":""}],"filled_by":"claimant"},{"title":"Additional Claim Information","fields":[{"help":"","type":"text","label":"Any additional information relevant to processing of claim","options":[],"required":false,"pdf_field":""}],"filled_by":"claimant"},{"title":"Details of Hire Purchase / Hypothecation / Lease","fields":[{"help":"","type":"choice","label":"Please state if the vehicle is under Hire purchase / Lease Agreement / Hypothecation Agreement","options":["Hire purchase","Lease Agreement","Hypothecation Agreement"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"If so, give name and address of concerned parties - Full Name M/s","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":false,"pdf_field":""}],"filled_by":"claimant"},{"title":"Assistance Covers (if opted)","fields":[{"help":"","type":"text","label":"Name of the Injured Person","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Relationship with the Insured","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Nature of Injury","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name and address of the Medical Establishment","options":[],"required":false,"pdf_field":""},{"help":"₹ amount","type":"amount","label":"Claim Reimbursement Amount","options":[],"required":false,"pdf_field":""},{"help":"Tick if applicable","type":"checkbox","label":"Claim is being registered under Reimbursement towards Blood Transfusion","options":[],"required":false,"pdf_field":""}],"filled_by":"claimant"},{"title":"Bank Details for NEFT Payment (For Reimbursement Claims)","fields":[{"help":"Mr., Mrs., Ms. prefix and full name","type":"text","label":"Name of the Bank Account Holder","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Bank Account No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Account Type","options":["Saving","Current"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of the Bank","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Branch","options":[],"required":null,"pdf_field":""},{"help":"Attach self-attested AADHAR card copy","type":"text","label":"AADHAR Card Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"checkbox","label":"I wish to collect claim reimbursement directly in my Bank account linked with my aforementioned Aadhaar Card","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Declaration and Signature","fields":[{"help":"","type":"text","label":"This Claim form was completed by - Name","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"","type":"signature","label":"Signature of the Insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"For office use","type":"signature","label":"Signature of Insurer & Company Seal","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":["The event shall be intimated, in writing, to the Company within Fifteen (15) days of its occurrence","Information/documents requested by the Company must be furnished within 30 days of the request"],"applies_to":"Extended warranty claims for passenger and goods carrying commercial vehicles that are hybrid or electric (HYBRID & EV)","attachments":["Self-attested RC Copy if vehicle is designed for use of Blind/Handicapped/Mentally Challenged Person","Copy of signed cancelled cheque of the Bank Account of the insured","Self-attested AADHAR card copy","Manufacturer Warranty Copy","Copy of Motor Extended Warranty Policy","Original purchase invoice or transfer of ownership documents","NOC from finance company if hypothecated","All maintenance/service invoices/records prior to loss event","All documentary evidence pertaining to transfer of ownership if applicable","Any other document applicable against the warranty claim","Copy of bill for any reimbursement service claimed"],"declarations":["The details given are true and correct to the best of my belief and knowledge","If any information is found incorrect, all rights under the policy will be forfeited","I have received and read the Claim Procedure and retained it","I agree to provide additional information if required","I will indemnify and hold harmless the Company for any loss arising out of misstatement in this form","In case of claim, the insured shall transport the insured asset to an authorized location for inspection and repair","Claim must be intimated immediately to avoid violation of policy conditions"],"dropped_labels":21},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"services@indusindinsurance.com","label":"Health Insurance Claims Email","level":1,"hours":null,"applies_to":"health","source_url":"https://www.indusindinsurance.com/health-insurance-claims","quote":"nce Claim\nTravel Insurance Claim\nCommercial Insurance Claim\nSupport\nSign In\nSelf Help\nVideo Chat\nContact Us\nEmail us at\nservices@indusindinsurance.com\ngrievances@indusindinsurance.com\ncareers@indusindinsurance.com\nCall us at\n+91 22 48903009 (Paid Number)\n+91 22 65934185","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"indusind@europ-assistance.in","label":"Travel Insurance Claims Email","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"91-22-67347844\nInternational Travel (while in India):\n1800 209 5522\nWhatsApp:\n7400422200 for Inland Travel Claim\nEmail:\nindusind@europ-assistance.in\nMobile Application:\nIndusInd Insurance App\nWebsite:\nOnline Claim Intimation\nOffline Visit:\nLocate your nearest branch\nh","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"+91 22 48903009","label":"Car Insurance Claim Intimation","level":null,"hours":null,"applies_to":"motor","source_url":"https://www.indusindinsurance.com/car-insurance-claim","quote":"Us\nEmail us at\nservices@indusindinsurance.com\ngrievances@indusindinsurance.com\ncareers@indusindinsurance.com\nCall us at\n+91 22 48903009 (Paid Number)\n+91 22 65934185 (Senior Citizen)\n+91 7400422200 (WhatsApp)\n+91 22 48903051 (Become our Partner)\nVisit us:","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 65934189","label":"Motor Claims Helpline","level":null,"hours":null,"applies_to":"motor","source_url":"https://www.indusindinsurance.com/car-insurance-claim","quote":"ation.\nNeed Guidance on Car Coverage?\nTalk to Our Professional Advisors\nCall Us\nCall Us!!\nHealth -\n022 65934188\nMotor -\n022 65934189\nTravel -\n022 65934184\nSteps to Take After a Car ​Accident\nThe following steps can expedite the road accident insurance","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 65934188","label":"Health Claims Helpline","level":null,"hours":null,"applies_to":"health","source_url":"https://www.indusindinsurance.com/health-insurance-claims","quote":"your nearest location.\nExpert health advice you can trust\nGet in touch with our team today!\nCall Us\nCall Us!!\nHealth -\n022 65934188\nMotor -\n022 65934189\nTravel -\n022 65934184\nCommon Reasons for Health Insurance Claim Rejection\nIncomplete Documentation","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 65934184","label":"Travel Claims Helpline","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/health-insurance-claims","quote":"e you can trust\nGet in touch with our team today!\nCall Us\nCall Us!!\nHealth -\n022 65934188\nMotor -\n022 65934189\nTravel -\n022 65934184\nCommon Reasons for Health Insurance Claim Rejection\nIncomplete Documentation\nYour claim gets rejected when you don't gi","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"+912248903009","label":"Inland Travel Helpline","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"rds your registered bank account.\nHow to Contact Us For Travel Insurance Claim?\nContact Details\nInland Travel Helpline:\n+912248903009\nInternational Travel (while abroad):\n91-22-67347843/ 91-22-67347844\nInternational Travel (while in India):\n1800 209 552","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"91-22-67347843","label":"International Travel Helpline (abroad)","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"For Travel Insurance Claim?\nContact Details\nInland Travel Helpline:\n+912248903009\nInternational Travel (while abroad):\n91-22-67347843/ 91-22-67347844\nInternational Travel (while in India):\n1800 209 5522\nWhatsApp:\n7400422200 for Inland Travel Claim\nEmail","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 209 5522","label":"International Travel Helpline (in India)","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"912248903009\nInternational Travel (while abroad):\n91-22-67347843/ 91-22-67347844\nInternational Travel (while in India):\n1800 209 5522\nWhatsApp:\n7400422200 for Inland Travel Claim\nEmail:\nindusind@europ-assistance.in\nMobile Application:\nIndusInd Insurance","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/indusind-general-insurance/567-indusind-motor-vehicle-extended-warranty-and-protection-for-passenger-and-goods-"}