{"id":606,"title":"BURGLARY INSURANCE - CLAIM FORM","purpose":"claim","insurer":{"slug":"indusind-general-insurance","name":"IndusInd General Insurance Company Limited"},"source_pdf":"https://www.indusindinsurance.com/downloads/burglary-insurance-claim-form","sha256":"7e40ded682c8b0ea9ad58de11d2e200bcf7fda86c5406e3595d70b224642876b","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to file a claim for loss or damage due to burglary under their burglary insurance policy.","notes":["Use BLOCK LETTERS to fill the form.","Attach original or self attested copies of required documents.","Attach a copy of the police complaint; if not yet lodged, do so immediately and furnish a copy.","Attach a cancelled cheque leaf if opting for NEFT payment."],"title":"BURGLARY INSURANCE - CLAIM FORM","submit":{"to":"IndusInd General Insurance Company Limited, Registered & Corporate Office: 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off. Western Express Highway, Goregaon (E), Mumbai-400063","how":"post or as per company instructions","address":"6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off. Western Express Highway, Goregaon (E), Mumbai-400063"},"purpose":"claim","sections":[{"title":"Insured Details","fields":[{"help":"Fill in full name in block letters","type":"text","label":"Name of the Insured","options":["Mr.","Mrs.","Ms."],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Customer ID","options":[],"required":null,"pdf_field":""},{"help":"Include Plot No./Door No., Building name, Road, Area, City, Pin Code, State","type":"text","label":"Address of the Insured","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Phone No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"E-mail Id","options":[],"required":null,"pdf_field":""},{"help":"Attach self attested copy of Aadhaar Card","type":"text","label":"UID Aadhar No.","options":[],"required":true,"pdf_field":""},{"help":"Attach self attested copy of PAN card or Form 60","type":"text","label":"PAN No.","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"CIN (In case of Corporate)","options":[],"required":null,"pdf_field":""},{"help":"Date of Birth or Date of Incorporation","type":"date","label":"DOB/DOI","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you have a GST Registration Number","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide GST Registration Number if applicable","type":"text","label":"If Yes, please specify","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Profession/Occupation","options":["Business","Profession","Salary","Agricultural Income","Savings","Others"],"required":null,"pdf_field":""},{"help":"","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":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of the Loss Occurred","fields":[{"help":"Provide full address of the premises where loss happened","type":"text","label":"State address of the premises at which the loss occurred","options":[],"required":true,"pdf_field":""},{"help":"Describe the occupancy status of the premises","type":"text","label":"How was the said premises occupied?","options":[],"required":true,"pdf_field":""},{"help":"Provide date and time of the loss (include AM/PM)","type":"date","label":"Date & time of loss","options":[],"required":true,"pdf_field":""},{"help":"Mention who discovered the loss and when","type":"text","label":"When was the loss discovered and by whom?","options":[],"required":true,"pdf_field":""},{"help":"Explain how entry or exit was made","type":"text","label":"How was entry to/ exit from the premises effected?","options":[],"required":true,"pdf_field":""},{"help":"Specify affected areas of the premises","type":"text","label":"Which portion of the premises was affected by the entry or exit?","options":[],"required":true,"pdf_field":""},{"help":"Describe the loss incident briefly","type":"text","label":"Give brief details of how exactly the loss occurred. (Specify overleaf the articles stolen and property, if any, damaged)","options":[],"required":true,"pdf_field":""},{"help":"Attach a copy of the police complaint","type":"yes-no","label":"Has a complaint been lodged with the police?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of police complaint","type":"text","label":"If so, by whom and when and at which Police Station?","options":[],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Were the premises occupied at the time of loss?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide last occupied date and time if premises were unoccupied","type":"date","label":"If not, on what date and at what hour were they last occupied?","options":[],"required":null,"pdf_field":""},{"help":"Mention duration of unoccupancy","type":"text","label":"For how long have the premises been unoccupied since the policy was effected or last renewed?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is anybody suspected of theft?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of suspected persons if any","type":"text","label":"If so, state full details.","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is the insured the sole owner of the property which was lost or damaged?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide ownership details if not sole owner","type":"text","label":"If so, state full details.","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is the insured responsible for repairs of the premises?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of repair responsibility","type":"text","label":"If so, state full details.","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated total value","type":"amount","label":"State the total value of property inside the premises at the time of loss.","options":[],"required":true,"pdf_field":""},{"help":"Provide details of any fire insurance cover","type":"text","label":"State the amount of fire insurance cover of the property and name(s) of the Insurer(s).","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is there any other insurance against the present loss under any other policy?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of other insurance policies","type":"text","label":"If so, give full particulars.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Bank Details","fields":[{"help":"If yes, enclose a cancelled cheque leaf","type":"yes-no","label":"Would you like to opt for NEFT payment?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Bank Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Branch Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"A/C Holder Name as in Bank Record","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Account No","options":[],"required":null,"pdf_field":""},{"help":"Provide IFSC code from cheque leaf","type":"text","label":"IFSC Code (this is a 11 digit code printed on your cheque leaf)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Details of Articles Stolen, Property Damaged","fields":[{"help":"List all stolen articles and damaged property","type":"text","label":"Details of Articles Stolen, Property Damaged","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"Declarations by Insured","fields":[{"help":"Sign and date the form","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Place","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":["Please return the form completed within Fourteen days of the loss together with the relevant vouchers, documents etc."],"applies_to":"Burglary Insurance claims","attachments":["Self attested copy of PAN card/Form 60 & Aadhaar Card","Copy of the Police Complaint","Cancelled cheque leaf (if opting for NEFT payment)"],"declarations":["The insured declares that the statements made in this claim form are true to the best of their knowledge and belief.","The insured agrees that the address mentioned shall be taken as the address on record for the purpose of GST."],"dropped_labels":0},"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/606-burglary-insurance-claim-form"}