{"id":572,"title":"प्रधानमंत्री सुरक्षा बीमा योजना – (पीएमएसबीवाई) (दावा फामम)","purpose":"claim","insurer":{"slug":"indusind-general-insurance","name":"IndusInd General Insurance Company Limited"},"source_pdf":"https://www.indusindinsurance.com/downloads/pmsby-claim-form-hindi","sha256":"4bf28404a1f821ec810f91d126ad90b458f069ebd30c0bf0363c742510de45dc","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is for filing a claim under the Pradhan Mantri Suraksha Bima Yojana (PMSBY) by the insured person or claimant after an accident. It is to be filled by the claimant or nominee to request insurance benefits.","notes":["दावा फार्म को संबंधित बैंक शाखा में जमा करें जहाँ पॉलिसी खाता है।","दावा फार्म के साथ आवश्यक दस्तावेज संलग्न करें।","फॉर्म को सही और स्पष्ट रूप से भरें।","दावा प्रस्तुत करने की अंतिम तिथि का ध्यान रखें।","अधिक जानकारी के लिए संबंधित बैंक शाखा या बीमा कंपनी से संपर्क करें।"],"title":"प्रधानमंत्री सुरक्षा बीमा योजना – (पीएमएसबीवाई) (दावा फामम)","submit":{"to":"उसे भककारक उस शाखा र्ें जर्ा कारकाया जा ा चादहब जहाां  ीमर्त व् यजतत कारा उजलिखिखत  ैंकार खाता है।","how":"","address":""},"purpose":"claim","sections":[],"deadlines":["दुर्मट ा से दावा उत् पन्  हु  उसकारे 30 दद  कारे भीतक इसे भककारक उस शाखा र्ें जर्ा कारकाया जा ा चादहब","दावा प्र्‍ तुत एकारब जा े कारे 30 दद ों  कारे भीतक उपयुमत त  ैंकार शाखा र्ें प्र्‍ तुत एकारया जाब।","दावा प्र्‍ तुत एकारब जा े कारे 30 दद ों  कारे भीतक इसे सां ांधित  ीर्ा कारांप ी कार  अग्रेिषत कारकेंगे।","दावा प्राप् त ह  े कारे 30 दद ों  कारे भीतक दावे कारे सां ांि र्ें काराकमवाई कारकेगी।","फार्म कार   ीर्ा कारांप ी कार  अग्रेिषत कारक े कार  अधिकारतर् सर्य-सीर्ा 30 दद  है तथा  ीर्ा-कारांप ी द्दवाका दावा कार  अ ुर् ददत कारक े तथा तत् पश् चात् कामश सांिवतिकत कारक े कार  अधिकारतर् सर्य-सीर्ा तीस दद  है।"],"applies_to":"Claims arising from accidents covered under the Pradhan Mantri Suraksha Bima Yojana (PMSBY)","attachments":["प्राथमर्कार /पांच ार्ा","प ्‍ टर्ाटमर् िकप टम","द्रत् यु प्रर्ा","थायी िवकारखाांगता प्रमाण पत्र","मसिवख सजम"],"declarations":["मैं, बतद्दवक्ता, यह घोषणा करता/करती हूँ कि दी गई जानकारी सत्य है।","मैं यह भी घोषणा करता/करती हूँ कि यदि दी गई जानकारी गलत या असत्य पाई गई तो मुझे कानूनी कार्रवाई का सामना करना पड़ेगा।","मैं यह घोषणा करता/करती हूँ कि यह दावा केवल दुर्घटना के कारण उत्पन्न हुआ है।","मैं/हम उपयुक्त दस्तावेजों के साथ दावा प्रस्तुत करते हैं।","मैं/हम सभी अधिकार और दावे इस संबंध में प्रमाणित करते हैं।"],"dropped_labels":26},"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/572-x"}