{"id":595,"title":"CATTLE INSURANCE POLICY - RETAIL - CLAIM FORM","purpose":"claim","insurer":{"slug":"indusind-general-insurance","name":"IndusInd General Insurance Company Limited"},"source_pdf":"https://www.indusindinsurance.com/downloads/cattle-insurance-policy-claim-form","sha256":"7c4263bc03ed2d460e087d8a409badbbc59d37e6856d4e741431e8a7fa96a41d","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to claim insurance benefits for cattle insured under the retail cattle insurance policy.","notes":["Fill all mandatory fields marked with *.","Use BLOCK LETTERS to fill the form.","Attach original cancelled cheque and PAN card copy for bank details verification.","Payments to insured are made only through electronic mode as per IRDAI guidelines.","The document checklist is indicative; additional documents may be requested.","Politically Exposed Persons (PEPs) are defined as per PMLA Rules and AML/CFT Guidelines.","Submit the claim documents by courier or email to the given address."],"title":"CATTLE INSURANCE POLICY - RETAIL - CLAIM FORM","submit":{"to":"Health Care Unit: IndusInd General Insurance","how":"courier / e-mail","address":"No.1-89/3/B/40 to 42/ks/301, 3rd floor, Krishe Block, Krishe Sapphire, Madhapur, Hyderabad - 500081. Email: healthcare@indusindinsurance.com"},"purpose":"claim","sections":[{"title":"Policy and Agent Details","fields":[{"help":"Enter your policy or certificate number.","type":"text","label":"*Policy No./ Certificate No.","options":[],"required":true,"pdf_field":""},{"help":"Enter the date of registration in DD/MM/YYYY format.","type":"date","label":"Date of Registration","options":[],"required":true,"pdf_field":""},{"help":"Enter the code of the area office or service centre.","type":"text","label":"Area Office/Service Centre Code","options":[],"required":false,"pdf_field":""},{"help":"Enter the name of the broker or agent.","type":"text","label":"Broker/Agent Name","options":[],"required":false,"pdf_field":""},{"help":"Enter the broker/agent code.","type":"text","label":"Code","options":[],"required":false,"pdf_field":""},{"help":"Enter the mobile number of the agent.","type":"phone","label":"Agent Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"Enter the email ID of the agent.","type":"email","label":"Agent Email ID","options":[],"required":false,"pdf_field":""}],"filled_by":""},{"title":"Details of Insured","fields":[{"help":"Select title and enter full name in block letters.","type":"text","label":"*Insured's Name","options":["Mr.","Mrs.","Ms."],"required":true,"pdf_field":""},{"help":"Enter full address including Flat/Building/Door/Block No., Road/Street/Sector, Nearest Landmark, Area, City, Pin Code, State, Country.","type":"text","label":"*Address","options":[],"required":true,"pdf_field":""},{"help":"Enter phone number.","type":"phone","label":"*Phone","options":[],"required":true,"pdf_field":""},{"help":"Enter mobile number.","type":"phone","label":"*Mobile","options":[],"required":true,"pdf_field":""},{"help":"Enter email address.","type":"email","label":"*Email","options":[],"required":true,"pdf_field":""},{"help":"Enter PAN number if available.","type":"text","label":"PAN No.","options":[],"required":false,"pdf_field":""},{"help":"Enter date of birth in DD/MM/YYYY format.","type":"date","label":"Date of Birth","options":[],"required":false,"pdf_field":""},{"help":"Select gender.","type":"choice","label":"Gender","options":["M","F"],"required":false,"pdf_field":""},{"help":"Select your profession or occupation.","type":"choice","label":"Profession/Occupation","options":["Business","Profession","Salary","Agricultural Income","Savings","Others"],"required":false,"pdf_field":""},{"help":"Select your monthly income range.","type":"choice","label":"Monthly Income:","options":["Upto ` 20,000","` 20,001 to ` 50,000","` 50,001 to ` 1,00,000","` 1,00,001 and above"],"required":false,"pdf_field":""},{"help":"Enter your Aadhar number.","type":"text","label":"UID Aadhar No.","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of the Cattle Insured","fields":[{"help":"Enter the ear tag number of the cattle.","type":"text","label":"Ear Tag No.","options":[],"required":false,"pdf_field":""},{"help":"Describe when the cattle was first observed ill.","type":"text","label":"When was the Cattle first observed to be ill?","options":[],"required":false,"pdf_field":""},{"help":"Enter the date notice was sent to the veterinary in DD/MM/YYYY format.","type":"date","label":"Veterinary Inspection: When was notice sent to Veterinary?","options":[],"required":false,"pdf_field":""},{"help":"Enter full name of the veterinary surgeon.","type":"text","label":"Name of Veterinary Surgeon","options":[],"required":false,"pdf_field":""},{"help":"Enter address of the veterinary surgeon.","type":"text","label":"Address of Veterinary Surgeon","options":[],"required":false,"pdf_field":""},{"help":"Enter date of death of the cattle in DD/MM/YYYY format.","type":"date","label":"Date of death","options":[],"required":false,"pdf_field":""},{"help":"Enter place where the cattle died.","type":"text","label":"Place of death","options":[],"required":false,"pdf_field":""},{"help":"Enter time of death in HH/MM format.","type":"text","label":"Time of death","options":[],"required":false,"pdf_field":""},{"help":"Describe cause of death or recent operation details.","type":"text","label":"Cause of Death: If from disease, nature of disease; If from accident, how did it occur? If operated upon recently, state, nature and date, also name of surgeon","options":[],"required":false,"pdf_field":""},{"help":"Describe the last purpose or work for which the cattle was used.","type":"text","label":"Purpose for which used or employed last at work.","options":[],"required":false,"pdf_field":""},{"help":"State whether you bred or bought the cattle.","type":"text","label":"Did you breed or buy the Cattle?","options":[],"required":false,"pdf_field":""},{"help":"Enter date of last calving in DD/MM/YYYY format.","type":"date","label":"Date of last Calving","options":[],"required":false,"pdf_field":""},{"help":"Enter name of seller if cattle was bought.","type":"text","label":"If bought, please provide the following details: From whom","options":[],"required":false,"pdf_field":""},{"help":"Enter date of purchase in DD/MM/YYYY format.","type":"date","label":"Date of purchase","options":[],"required":false,"pdf_field":""},{"help":"Enter purchase price paid.","type":"amount","label":"Price Paid `","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Policy and Claim Details","fields":[{"help":"Enter sum insured amount.","type":"amount","label":"Sum Insured `","options":[],"required":false,"pdf_field":""},{"help":"Enter amount claimed.","type":"amount","label":"Amount of claim `","options":[],"required":false,"pdf_field":""},{"help":"Select if the cattle is insured with another insurer.","type":"choice","label":"Is the Cattle also insured elsewhere","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter name of other insurer if applicable.","type":"text","label":"If yes, where","options":[],"required":false,"pdf_field":""},{"help":"Select if receiving compensation from other sources.","type":"choice","label":"Are you receiving compensation from any other source? If so, from whom?","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Injury Details","fields":[{"help":"Describe injury or disease details including timing and duration.","type":"text","label":"If Cattle has not died, describe the nature of injury / disease and state when it occurred and its duration.","options":[],"required":false,"pdf_field":""},{"help":"Explain if injury/disease caused permanent incapacity.","type":"text","label":"Has this injury/disease resulted in permanent incapacity to conceive or yield milk?","options":[],"required":false,"pdf_field":""},{"help":"Describe actions taken to prevent permanent incapacity.","type":"text","label":"What steps were taken by you after the injury / disease was noticed to prevent the permanent incapacity to conceive or yield milk.","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Policyholder Bank Details","fields":[{"help":"Select title and enter full name of bank account holder.","type":"text","label":"Name of the Bank Account Holder","options":["Mr.","Mrs.","Ms."],"required":false,"pdf_field":""},{"help":"Enter bank account number.","type":"text","label":"Bank Account No.:","options":[],"required":false,"pdf_field":""},{"help":"Select type of bank account.","type":"choice","label":"Account:","options":["Saving","Current"],"required":false,"pdf_field":""},{"help":"Enter bank name.","type":"text","label":"Name of the Bank","options":[],"required":false,"pdf_field":""},{"help":"Enter bank branch name.","type":"text","label":"Branch","options":[],"required":false,"pdf_field":""},{"help":"Enter 9 digit MICR code from cheque.","type":"text","label":"MICR Code (9 digit MICR code number of the bank and branch appearing on the cheque issued by the bank)","options":[],"required":false,"pdf_field":""},{"help":"Enter 11 character IFSC code from cheque leaf.","type":"text","label":"IFSC Code (11 character code appearing on your cheque leaf)","options":[],"required":false,"pdf_field":""},{"help":"Confirm understanding that payments will be credited to the above bank account.","type":"checkbox","label":"I understand that any refund due on the premium payment / any payment / claims to be directly credited to my aforesaid Bank Account.*","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"PEP Declaration","fields":[{"help":"Select if you are a PEP.","type":"choice","label":"Are you a Politically Exposed Person (PEP)?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter position held if PEP.","type":"text","label":"If yes, please mention the position held","options":[],"required":false,"pdf_field":""},{"help":"Select if any close relative or family member is a PEP.","type":"choice","label":"Is any of your close relation or family member a PEP?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter details of relative/family member who is a PEP.","type":"text","label":"If yes, please mention the name and relation and the position held by such close relative/family member.","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Declarations and Signature","fields":[{"help":"Enter place of signing.","type":"text","label":"Place","options":[],"required":false,"pdf_field":""},{"help":"Enter date of signing in DD/MM/YYYY format.","type":"date","label":"Date","options":[],"required":false,"pdf_field":""},{"help":"Sign the form.","type":"signature","label":"Signature of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Sign the form.","type":"signature","label":"Signature of the Insured Person/Claimant","options":[],"required":true,"pdf_field":""},{"help":"Sign the form.","type":"signature","label":"Signature","options":[],"required":true,"pdf_field":""},{"help":"Enter date of signing in DD/MM/YYYY format.","type":"date","label":"Date","options":[],"required":false,"pdf_field":""},{"help":"Sign if applicable.","type":"signature","label":"Signature of the Borrower","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Cattle Insurance Policy - Retail","attachments":["Duly filled and signed Claim form","Attested copy of Post Mortem Examination report","Original Ear Tag","Veterinary Certificate from the concern Doctor confirming the valuation of the animal and containing the treatment detail","Color Photographs with clear Tag Number","In case of Finance from Bank: Confirmation from the Bank with NEFT Details on a bank letter head","Complete chart of treatment, Medical Receipts etc.","Original Cancelled Cheque in CTS 2010 format (Printed account number, IFSC code, Printed name) Mandatory. In case the name is not printed on cheque leaf, scanned copy of 1st page of passbook or the authorized bank statement","For claimed amount above 1 lac self attested copy of PAN Card /Form 60 of Insured is mandatory & for below 1 lac claimed amount copy of Photo identity proof (PAN Card/Form 60, Aadhaar Card, Voter ID etc.) is mandatory"],"declarations":["I understand that any refund or payment will be credited directly to my bank account.","I declare that if I or my relatives become Politically Exposed Persons (PEP) in future, I will inform the insurer.","I confirm that premiums are paid from bonafide sources and not from proceeds of crime.","I understand the insurer may verify sources of funds and cancel the contract if found guilty under money laundering laws.","I agree that the insurer may verify my KYC and PAN details and I am responsible for any mismatch consequences.","I declare that all statements made are true and that proper care was given to the cattle.","I agree that any false statement or concealment will void the policy and forfeit claims.","I consent that discharge vouchers signed by the banker will be valid full and final settlement of the claim."],"dropped_labels":3},"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/595-cattle-insurance-policy-retail-claim-form"}