{"id":878,"title":"Road Side Assistance (RSA) 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/RSA%20Liability%20only-TW%20-Claim%20Form.pdf","sha256":"ff780ebc66a392455ebbfa2c41e7fa382df80d81495af68498f56dff423fc6a0","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders of the Two Wheeler Liability Only Policy to claim Road Side Assistance services under the RSA Add-on.","notes":["This is a service only add-on provided through a third party RSA Service Provider.","No financial claim is involved in this product.","Not more than 4 claims are admissible under this Add-On."],"title":"Road Side Assistance (RSA) Add-on Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[],"deadlines":[],"applies_to":"Two Wheeler Liability Only Policy with RSA Add-on","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/878-road-side-assistance-rsa-add-on-claim-form"}