{"id":609,"title":"MONEY INSURANCE - CLAIM FORM","purpose":"claim","insurer":{"slug":"indusind-general-insurance","name":"IndusInd General Insurance Company Limited"},"source_pdf":"https://www.indusindinsurance.com/downloads/money-insurance-claim-form","sha256":"02332f87a446c83e96385f9962115770b55b973c0a5ba250bf66c3e22a46ead3","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured person to claim money insurance for loss of money in transit or custody. The policyholder or claimant fills it.","notes":["Fill the form in BLOCK LETTERS.","Attach self attested copies of PAN card/Form 60 and Aadhaar Card as mandatory as per IRDAI guidelines.","Attach copy of police complaint if complaint has been made; if not, it should be done immediately.","Attach cancelled cheque leaf if opting for NEFT payment."],"title":"MONEY INSURANCE - CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"SECTION 1 - 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":"Fill full postal address and contact details","type":"text","label":"Address of the Insured\nPlot No./Flat No.\nBuilding Name\nRoad\nArea\nCity\nState\nPin Code\nPhone Number\nMobile Number\nEmail ID","options":[],"required":null,"pdf_field":""},{"help":"Provide Aadhaar number","type":"text","label":"UID Aadhar No.","options":[],"required":true,"pdf_field":""},{"help":"Provide PAN number","type":"text","label":"PAN No.","options":[],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you have a GST Registration Number","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide GST 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":""},{"help":"","type":"text","label":"Business","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"SECTION 2 - DETAILS OF LOSS","fields":[{"help":"Date DD/MM/YYYY and time HH:MM AM/PM","type":"date","label":"Date and time of occurrence of loss","options":[],"required":true,"pdf_field":""},{"help":"Date DD/MM/YYYY","type":"date","label":"Date of discovery of loss","options":[],"required":true,"pdf_field":""},{"help":"Describe origin and destination places","type":"text","label":"What were the places between which money was in transit?","options":[],"required":true,"pdf_field":""},{"help":"Specify location of loss","type":"text","label":"Where did the loss occur?","options":[],"required":true,"pdf_field":""},{"help":"Name of person reporting loss","type":"text","label":"By whom was the loss reported? (A copy of written statement to be attached)","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Claim Form No","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"date","label":"Date of Registration","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Area Office Code/Service Centre Code","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Broker/Agent Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Code","options":[],"required":null,"pdf_field":""},{"help":"Name of person holding money","type":"text","label":"In whose custody was the money at the time of the loss?","options":[],"required":true,"pdf_field":""},{"help":"Names or description of accompanying persons","type":"text","label":"Who were the other persons accompanying the person carrying the money?","options":[],"required":null,"pdf_field":""},{"help":"Number of accompanying persons","type":"number","label":"How many persons accompanied him?","options":[],"required":null,"pdf_field":""},{"help":"Describe circumstances of loss","type":"text","label":"Brief details of the exact circumstances under which the loss occurred","options":[],"required":true,"pdf_field":""},{"help":"Describe mode of carrying money","type":"text","label":"How was the money carried? (whether in pocket, bag, box etc)","options":[],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Whether such bags, boxes etc were securely locked?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Specify vehicle or conveyance","type":"text","label":"By what conveyance was the money carried?","options":[],"required":true,"pdf_field":""},{"help":"Total amount in currency","type":"amount","label":"What was the total amount of money being carried?","options":[],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the total amount checked at the time of handing it over to the messenger?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was any acknowledgement received from him?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Amount lost in currency","type":"amount","label":"What was the amount of loss?","options":[],"required":true,"pdf_field":""},{"help":"Attach copy of police complaint if yes","type":"yes-no","label":"Has a complaint been made to the police?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe recovery efforts","type":"text","label":"What steps have been taken to recover lost money?","options":[],"required":null,"pdf_field":""},{"help":"Date or year of joining","type":"text","label":"When did the employees concerned enter your service?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was any one of them involved in a similar loss before?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide policy details if applicable","type":"text","label":"Are any of them covered under any Fidelity Guarantee Policy? If so, give details","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you hold any cash deposit or any security from them?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"If yes, give particulars","type":"yes-no","label":"Have you ever before sustained a loss of this nature?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"If yes, give details","type":"yes-no","label":"Are there any other insurance upon the same money?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"SECTION 3 - BANK DETAILS","fields":[{"help":"If yes, attach 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":"Name as per bank records","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":"DECLARATION BY INSURED","fields":[{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":["Please return the completed form within Fourteen days of the loss together with the relevant vouchers, documents etc."],"applies_to":"Money Insurance","attachments":["Self attested copy of PAN card/Form 60 & Aadhaar Card","Copy of written statement reporting loss","Copy of police complaint (if complaint made)","Cancelled cheque leaf (if opting for NEFT payment)"],"declarations":["The statements made in this claim form are true to the best of the insured's knowledge and belief.","The address mentioned shall be taken as address on record for GST purposes."],"dropped_labels":2},"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/609-money-insurance-claim-form"}