{"id":926,"title":"National Drone Insurance Policy CLAIM FORM","purpose":"claim","insurer":{"slug":"national-insurance","name":"National Insurance Company Limited"},"source_pdf":"https://nationalinsurance.nic.co.in/sites/default/files/2026-09/Drone%20Claim%20Form%20%28Commercial%29.pdf","sha256":"d4bebef3f7c3056a3a20d5f48fccdb87c1512bbe4d59251de209f8f426df6bc4","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured or claimant to file a claim under the National Drone Insurance Policy for losses related to drones, including physical damage, legal liability, personal accident, and medical expenses.","notes":["Attach weather report if weather was involved in accident.","Attach medical certificate for personal accident claims.","Submit detailed estimates for property damage claims.","Protect salvage from deterioration and do not remove debris without permission.","The form is not an admission of liability by the insurer."],"title":"National Drone Insurance Policy CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured and Claimant Details","fields":[{"help":"","type":"text","label":"Name of the Insured:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy No.:","options":[],"required":null,"pdf_field":""},{"help":"Include phone number and email","type":"text","label":"Address of the Insured (with phone/email):","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Broker /Agency Code:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of the Claimant/Registered owner","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address of the claimant/registered owner","options":[],"required":null,"pdf_field":""}],"filled_by":"insured or claimant"},{"title":"Claim Details","fields":[{"help":"Select the applicable section(s) for the claim","type":"choice","label":"Please mention the section under which loss has been claimed?","options":["Section I: Physical damage to Drone Hull","Section II: Legal Liability to Third party","Section III: Personal Accident cover to operator","Section IV: Medical expenses","Optional covers"],"required":null,"pdf_field":""},{"help":"Include date, hour, and place of loss","type":"text","label":"Date, Time & Place of Loss:","options":[],"required":null,"pdf_field":""},{"help":"Date and mode of claim intimation","type":"text","label":"Date of Claim Intimation/Mode:","options":[],"required":null,"pdf_field":""},{"help":"Describe the loss briefly","type":"text","label":"Brief Description of Loss:","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in rupees","type":"amount","label":"Amount of Loss:","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Other Insurance Details","fields":[{"help":"Provide details if applicable","type":"text","label":"Do you have any other policies covering the same incident? If yes, please give details of insurer, policy no., etc.","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Section I: Physical Damage to Drone Hull","fields":[{"help":"Provide drone identification details","type":"text","label":"Drone Registration number, make, model, serial no.","options":[],"required":null,"pdf_field":""},{"help":"Describe the work or purpose during accident","type":"text","label":"Nature of work/purpose at time of accident","options":[],"required":null,"pdf_field":""},{"help":"Provide permit details if any","type":"text","label":"Valid permit details of the work","options":[],"required":null,"pdf_field":""},{"help":"Describe weather conditions during flight","type":"text","label":"Flight Visibility, temperature, wind direction","options":[],"required":null,"pdf_field":""},{"help":"Attach weather report if applicable","type":"yes-no","label":"If weather was involved in accident, please attach weather report. State if weather briefing was obtained?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe any mechanical issues and last maintenance","type":"text","label":"Mechanical failure/malfunctions. Details of last maintenance/overhaul of drone involved in accident","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Did fire follow impact?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Any Third party loss?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick all that apply","type":"checkbox","label":"Failure occurred in Structure, Engine, Propeller, Accessories/equipment","options":["Structure","Engine","Propeller","Accessories/equipment"],"required":null,"pdf_field":""},{"help":"Provide pilot/operator name and address","type":"text","label":"Pilot/Operator Information: a. Name and address","options":[],"required":null,"pdf_field":""},{"help":"Provide licence number and validity date","type":"text","label":"Pilot/operator licence no. and validity","options":[],"required":null,"pdf_field":""},{"help":"Provide training details","type":"text","label":"Date and place of UAV training","options":[],"required":null,"pdf_field":""},{"help":"Specify total loss and repair loss","type":"text","label":"Total Loss and repair Loss","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated repair cost","type":"amount","label":"Total Estimated repair cost.","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Section II: Legal Liability to Third Party","fields":[{"help":"Provide names and addresses of third parties","type":"text","label":"Name of the Third Party/parties Address of Third party/parties","options":[],"required":null,"pdf_field":""},{"help":"Tick applicable loss type","type":"checkbox","label":"Nature of TP Loss A. Property damage B. Physical injury/Loss of Life","options":["Property damage","Physical injury/Loss of Life"],"required":null,"pdf_field":""},{"help":"Provide limit details","type":"text","label":"Any one Accident/Any One Year Limit under the policy.","options":[],"required":null,"pdf_field":""},{"help":"Provide date and nature of legal notice","type":"text","label":"Date of receipt of legal notice & Nature of suit case","options":[],"required":null,"pdf_field":""},{"help":"Describe loss claimed","type":"text","label":"Details of loss claimed by third party","options":[],"required":null,"pdf_field":""},{"help":"Provide suit details and amount claimed","type":"text","label":"Details of any suit filed and Amount of loss claimed","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Section III: Personal Accident cover to Operator","fields":[{"help":"Provide operator and claimant details","type":"text","label":"Name of the operator along with age/name of the claimant.","options":[],"required":null,"pdf_field":""},{"help":"Provide contact address and phone number","type":"text","label":"Address of communication along with phone no.","options":[],"required":null,"pdf_field":""},{"help":"Provide licence details","type":"text","label":"Details of licence","options":[],"required":null,"pdf_field":""},{"help":"Provide sum insured amount","type":"amount","label":"Capital Sum Insured","options":[],"required":null,"pdf_field":""},{"help":"Attach medical certificate","type":"yes-no","label":"Death or Permanent Total Disability? Please attach medical certificate.","options":["Death","Permanent Total Disability"],"required":null,"pdf_field":""},{"help":"Provide FIR details","type":"text","label":"Details of police compliant/FIR","options":[],"required":null,"pdf_field":""},{"help":"Provide nominee or legal heir name","type":"text","label":"Name of Nominee/Legal Heir for death case","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Section IV: Medical Expenses to authorised operator","fields":[{"help":"Provide hospital name","type":"text","label":"Name of Hospital/Nursing home","options":[],"required":null,"pdf_field":""},{"help":"Provide hospitalization date","type":"date","label":"Date of hospitalization","options":[],"required":null,"pdf_field":""},{"help":"Provide amount spent","type":"amount","label":"Amount of expenditure incurred","options":[],"required":null,"pdf_field":""},{"help":"Provide sum insured amount","type":"amount","label":"Sum Insured","options":[],"required":null,"pdf_field":""},{"help":"Provide mediclaim policy details if any","type":"text","label":"Existence of any mediclaim policy? If yes, please provide details.","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Declaration and Signature","fields":[{"help":"Fill your name, address and claim amount","type":"text","label":"I/We................................. now residing at............................. do hereby declare that the above is a full, true and accurate statement and that the articles mentioned on the other side, being my property and issued under above numbered Policy or Policies were accidently destroyed or damaged without any design or procurement on my part by the aforesaid loss. According to the extent and value annexed; I further declare that I had not entered into any contract to sell or dispose of the said property where for I claim from the company, the sum of Rs.............","options":[],"required":true,"pdf_field":""},{"help":"Provide witness name","type":"text","label":"Witness:","options":[],"required":null,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date:","options":[],"required":null,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of Claimant:","options":[],"required":true,"pdf_field":""}],"filled_by":"claimant"},{"title":"Detailed Statement of Property destroyed or damaged under section II","fields":[{"help":"List articles with values and salvage details","type":"table","label":"Sl. No, Articles destroyed or damaged, Value of Property of Articles damaged or destroyed at the time of the fire, Value of Salvage, Amount Claimed i.e. Actual loss after deduction of Salvage value","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"}],"deadlines":[],"applies_to":"Claims under the National Drone Insurance Policy (Commercial) covering drone hull damage, third party liability, personal accident cover to operator, and medical expenses","attachments":["Weather report (if weather involved in accident)","Medical certificate (for death or permanent total disability)","Detailed estimate by a builder or competent person for destruction or damage to buildings","Detailed statement of various articles claimed for destruction or damage to contents"],"declarations":["The information provided is full, true and accurate.","The property claimed was accidently destroyed or damaged without any design or procurement by the claimant.","The claimant has not entered into any contract to sell or dispose of the said property for which claim is made.","The issue of this form is not an admission of liability by the company."],"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/926-national-drone-insurance-policy-claim-form"}