{"id":611,"title":"INDUSIND MARINE HULL INSURANCE POLICY - CLAIM FORM","purpose":"claim","insurer":{"slug":"indusind-general-insurance","name":"IndusInd General Insurance Company Limited"},"source_pdf":"https://www.indusindinsurance.com/downloads/indusind-marine-hull-insurance-claim-form","sha256":"1a25bb779a2e8dc2c3feb5da45d3fe16b1a50a6ef0d71760003ddb76f2673efb","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to claim for loss or damage under the IndusInd Marine Hull Insurance Policy.","notes":["Fill the form in BLOCK LETTERS.","Attach self-attested copies of PAN card/Form 60 and Aadhaar Card as mandatory documents as per IRDAI guidelines.","Attach a cancelled cheque leaf if opting for NEFT payment.","Issuance of this form does not imply acceptance of liability.","Use original vouchers and documents related to the claim.","Contact IndusInd General Insurance Company Limited at 022 4890 3009 for assistance."],"title":"INDUSIND MARINE HULL INSURANCE POLICY - CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"SECTION 1 - INSURED DETAILS","fields":[{"help":"Select the appropriate title and write full name in block letters","type":"choice","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./Flat No., Building Name, Road, Area, City, State, Pin Code","type":"text","label":"Address of the Insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Phone Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email ID","options":[],"required":null,"pdf_field":""},{"help":"Attach self-attested copy of Aadhaar Card","type":"text","label":"UID Aadhar No.","options":[],"required":null,"pdf_field":""},{"help":"Attach self-attested copy of PAN card or Form 60 as per IRDAI guidelines","type":"text","label":"PAN No.","options":[],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"choice","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":"Select the applicable occupation","type":"choice","label":"Profession/Occupation","options":["Business","Profession","Salary","Agricultural Income","Savings","Others"],"required":null,"pdf_field":""},{"help":"Select the applicable 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":null,"pdf_field":""}],"filled_by":"insured"},{"title":"SECTION 2 - ASSIGNEE'S DETAILS","fields":[{"help":"Provide name if claim is assigned to another person","type":"text","label":"Name of the Assignee, if any","options":[],"required":false,"pdf_field":""},{"help":"Fill details: Name, GRT, Registration No., Place of Registration, Classified as, Construction, Year Built, Engine No.","type":"table","label":"Particulars of the Insured Vessel","options":[],"required":null,"pdf_field":""},{"help":"Provide names and addresses of Tindal, Tindal's Father, and crew members (up to 6)","type":"table","label":"Particulars of the Tindal & Crew Members","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy Particulars No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Issuing Office","options":[],"required":null,"pdf_field":""},{"help":"Specify policy coverage period","type":"text","label":"Period of Cover","options":[],"required":null,"pdf_field":""},{"help":"Specify terms of the policy","type":"text","label":"Terms","options":[],"required":null,"pdf_field":""},{"help":"Enter sum insured amount","type":"amount","label":"Sum Insured `","options":[],"required":null,"pdf_field":""},{"help":"Describe the incident details including place, time, date, and cause","type":"text","label":"Detailed particulars of the casualty giving to this claim indulging place (Anchor-bearing) Time, Date and the cause of the casualty","options":[],"required":null,"pdf_field":""},{"help":"Describe any actions taken to prevent further damage","type":"text","label":"Actions taken to save the vessel from imperilment","options":[],"required":null,"pdf_field":""},{"help":"Describe the loss or damage to the vessel","type":"text","label":"Actual loss / damage suffered","options":[],"required":null,"pdf_field":""},{"help":"Provide details of any human lives lost or saved","type":"text","label":"Human lives lost /saved – How and by whom?","options":[],"required":null,"pdf_field":""},{"help":"Provide details of reporting to authorities if applicable","type":"text","label":"Has the casualty been reported to the authorities – Port Officer / Police / Notary Public? If so, give particulars","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"choice","label":"Was the vessel seaworthy in all respects before commencement of the ill fated voyage or immediately before the casualty?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide date or period of last repair","type":"text","label":"When was the vessel last repaired?","options":[],"required":null,"pdf_field":""},{"help":"Describe the repair work done","type":"text","label":"What was the repair work carried out?","options":[],"required":null,"pdf_field":""},{"help":"Describe efforts and expenses to minimize loss","type":"text","label":"Particulars of loss minimization efforts and expenses incurred, if any","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated amount of loss","type":"text","label":"Estimated Loss","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"SECTION 5 - BANK DETAILS","fields":[{"help":"Select Yes or No","type":"choice","label":"Would you like to opt for NEFT payment?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide bank name","type":"text","label":"Bank Name","options":[],"required":null,"pdf_field":""},{"help":"Provide branch name","type":"text","label":"Branch Name","options":[],"required":null,"pdf_field":""},{"help":"Provide account holder name exactly as in bank records","type":"text","label":"A/C Holder Name as in Bank Record","options":[],"required":null,"pdf_field":""},{"help":"Provide city of bank branch","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"Provide state of bank branch","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Provide bank account number","type":"text","label":"Account No","options":[],"required":null,"pdf_field":""},{"help":"Provide 11 digit IFSC code printed on cheque leaf","type":"text","label":"IFSC Code","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"DECLARATION BY INSURED","fields":[{"help":"Sign to declare the truthfulness of the information","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"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":""}],"filled_by":"insured"}],"deadlines":["Please return the completed form within Fourteen days of the loss together with the relevant vouchers, documents etc."],"applies_to":"Marine Hull Insurance Policy claims","attachments":["Self attested copy of PAN card/Form 60 & Aadhaar Card","Cancelled cheque leaf (if opting for NEFT payment)","Relevant vouchers and documents related to the claim"],"declarations":["The particulars provided are true to the best of the insured's knowledge.","No other person has any interest in the insured property except as stated.","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 the address on record for GST purposes."],"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/611-indusind-marine-hull-insurance-policy-claim-form"}