{"id":877,"title":"National Loss of Personal Belongings Plus (OEM) 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/2026-04/Claim%20Form%20national%20lopb%20plus%20OEM.pdf","sha256":"2e9aac2a10f618838fdcfc344bb65d78d67ec1e61354eb494295d036bd2e9a4c","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to claim loss under the National Loss of Personal Belongings Plus (OEM) Add-on for private car insurance policies.","notes":[],"title":"National Loss of Personal Belongings Plus (OEM) Add-on Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Policy and Insured Details","fields":[{"help":"","type":"text","label":"Policy Number:","options":[],"required":null,"pdf_field":""},{"help":"Full name of the insured","type":"text","label":"Name in full:","options":[],"required":null,"pdf_field":""},{"help":"Complete postal address","type":"text","label":"Address for Correspondence:","options":[],"required":null,"pdf_field":""},{"help":"Phone number to contact","type":"phone","label":"Contact Number:","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Insured Vehicle Details","fields":[{"help":"Vehicle make and model","type":"text","label":"Make & Model","options":[],"required":null,"pdf_field":""},{"help":"Year vehicle was manufactured","type":"number","label":"Year of Manufacture","options":[],"required":null,"pdf_field":""},{"help":"Engine number of the vehicle","type":"text","label":"Engine No.","options":[],"required":null,"pdf_field":""},{"help":"Chassis number of the vehicle","type":"text","label":"Chassis No.","options":[],"required":null,"pdf_field":""},{"help":"Vehicle registration number","type":"text","label":"Registration No.","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Loss Description and Details","fields":[{"help":"Describe the loss or damage to personal belongings","type":"text","label":"Description of loss:","options":[],"required":null,"pdf_field":""},{"help":"Provide details about the loss event","type":"text","label":"Loss details:","options":[],"required":null,"pdf_field":""},{"help":"Details of the First Information Report if filed","type":"text","label":"FIR Details:","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Supporting Documents and Previous Claims","fields":[{"help":"Attach original bills, cash memos, or invoices related to the loss","type":"attachment","label":"Supporting Documents: (Original bills/ cash memo/ invoice) as applicable","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"choice","label":"Have you claimed before under this add-on?*","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":[],"applies_to":"National Loss of Personal Belongings Plus (OEM) Add-on applicable to Private Car policies","attachments":["Original bills/ cash memo/ invoice as applicable"],"declarations":["This add-on covers up to two claim events and the aggregate indemnity for all such claims shall not exceed ₹50,000/- in each year of the Policy Period."],"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/877-national-loss-of-personal-belongings-plus-oem-add-on-claim-form"}