{"id":875,"title":"National OEM HEV Protect Add-on Claim Form","purpose":"claim","insurer":{"slug":"national-insurance","name":"National Insurance Company Limited"},"source_pdf":"https://nationalinsurance.nic.co.in/sites/default/files/2026-06/Claim%20Form%20HEV%20Protect%20OEM_0.pdf","sha256":"8f718b584724e304e61261fb88d15270e1ea4864ee8c891011986bdf9df13bc7","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to claim under the National OEM HEV Protect Add-on for private car insurance policies.","notes":[],"title":"National OEM HEV Protect Add-on 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":"Enter the vehicle's make","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":"Enter the engine number of the vehicle","type":"text","label":"Engine No.","options":[],"required":null,"pdf_field":""},{"help":"Enter the chassis number of the vehicle","type":"text","label":"Chasis No.","options":[],"required":null,"pdf_field":""},{"help":"Enter the vehicle registration number","type":"text","label":"Registration No.","options":[],"required":null,"pdf_field":""},{"help":"Specify if the loss is covered under warranty or recall","type":"text","label":"Whether the loss is covered under the manufacturer’s warranty or product recall campaign?","options":[],"required":null,"pdf_field":""},{"help":"Specify if the add-on cover is opted or allowed","type":"text","label":"Is National OEM HEV Protect Add-on Cover opted/ allowed?","options":[],"required":null,"pdf_field":""},{"help":"Indicate if you have claimed before 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 Policy, Long Term Private Car Bundled Policy, National Stand Alone Private Car Own Damage Cover, Long Term Private Car Package Policy for New Vehicles","attachments":[],"declarations":["Maximum two claims are admissible under the Add-on during each policy year of the OD Section."],"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/875-national-oem-hev-protect-add-on-claim-form"}