{"id":868,"title":"National Electric Vehicle Protect Plus Add-On (For BEV & PHEV) 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/EV%20Protect%20Plus-PC-Claim%20Form.pdf","sha256":"5fca7c62136cbe1f2c47c401a7b7c30826ffbf4df9d363bc0ca6367b8debb03b","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to claim under the National Electric Vehicle Protect Plus Add-On cover for Battery Electric Vehicles (BEV) and Plug-in Hybrid Electric Vehicles (PHEV). It is to be filled by the insured person.","notes":[],"title":"National Electric Vehicle Protect Plus Add-On (For BEV & PHEV) 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":"Include country and area code if applicable","type":"phone","label":"Telephone Number, if any         :","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"The Insured Vehicle","fields":[{"help":"Vehicle manufacturer","type":"text","label":"Make","options":[],"required":null,"pdf_field":""},{"help":"Year vehicle was manufactured","type":"number","label":"Year of Manufacture","options":[],"required":null,"pdf_field":""},{"help":"Engine number as per vehicle documents","type":"text","label":"Engine No.","options":[],"required":null,"pdf_field":""},{"help":"Chassis number as per vehicle documents","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":"Indicate if the loss is covered by 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 the add-on cover is opted or allowed","type":"yes-no","label":"Is National Electric Vehicle Protect Plus Add-On Cover opted/ allowed?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Only one claim is admissible under the add-on during the policy period or each year of long term policy","type":"yes-no","label":"Have you claimed before under this add-on?","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"National Electric Vehicle Protect Plus Add-On cover for BEV & PHEV under Private Car 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/868-national-electric-vehicle-protect-plus-add-on-for-bev-and-phev-claim-form"}