{"id":847,"title":"Daily Allowance Add-on (Applicable to Private Car) Claim Form","purpose":"claim","insurer":{"slug":"national-insurance","name":"National Insurance Company Limited"},"source_pdf":"https://nationalinsurance.nic.co.in/sites/default/files/2026-04/Daily%20Allowance%20Claim%20Form_1.pdf","sha256":"949521f12b2b6ee75b32417c96a0c272ce9c39a8b2e3f451753fc00230b0385e","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to claim the Daily Allowance Add-on benefit under their Private Car Package or Own Damage Policy.","notes":[],"title":"Daily Allowance Add-on (Applicable to Private Car) Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"THE INSURED","fields":[{"help":"","type":"text","label":"Name in full","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address for Correspondence","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Telephone Number, if any","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"THE INSURED VEHICLE","fields":[{"help":"","type":"text","label":"Make","options":[],"required":null,"pdf_field":""},{"help":"Enter the year the vehicle was manufactured","type":"number","label":"Year of Manufacture","options":[],"required":null,"pdf_field":""},{"help":"Vehicle engine number","type":"text","label":"Engine No.","options":[],"required":null,"pdf_field":""},{"help":"Vehicle chassis number","type":"text","label":"Chasis No.","options":[],"required":null,"pdf_field":""},{"help":"Vehicle registration number","type":"text","label":"Registration No.","options":[],"required":null,"pdf_field":""},{"help":"Answer if the loss is covered under warranty or recall","type":"yes-no","label":"Whether the loss is covered under the manufacturer’s warranty or product recall campaign?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Confirm if Daily Allowance Add-on cover is opted or allowed","type":"yes-no","label":"Is Daily Allowance Add-on Cover opted/ allowed?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Not more than 2 claims are admissible under this Add-On","type":"yes-no","label":"Have you claimed before under this add-on?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":[],"applies_to":"Private Car Package/OD Policy","attachments":[],"declarations":[],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[],"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/national-insurance/847-daily-allowance-add-on-applicable-to-private-car-claim-form"}