{"id":974,"title":"VETERINARY CERTIFICATE FOR CATTLE CLAIM","purpose":"claim","insurer":{"slug":"new-india-assurance","name":"The New India Assurance Company Limited"},"source_pdf":"https://www.newindia.co.in/assets/docs/know-more/rural/cattle/Cattle%20Claim-Vet%20Cert.pdf","sha256":"f46c4243fe30ff4e00835b1aba3b76c6f365d05b2c274b744bc02d5c43162605","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is a veterinary certificate to be filled by the attending veterinarian to certify the death of a cattle insured under the policy and provide details about the animal and cause of death.","notes":["If post mortem was conducted, give detailed report on reverse of this form."],"title":"VETERINARY CERTIFICATE FOR CATTLE CLAIM","submit":{"to":"THE NEW INDIA ASSURANCE CO.LTD.","how":"forwarded direct to the Company","address":""},"purpose":"claim","sections":[{"title":"Animal and Owner Details","fields":[{"help":"Name of the animal's owner","type":"text","label":"Mr./Mrs.","options":[],"required":null,"pdf_field":""},{"help":"Address or location of the owner","type":"text","label":"of","options":[],"required":null,"pdf_field":""},{"help":"Date of animal's death","type":"date","label":"died on the ________________________day of _________________20__","options":[],"required":null,"pdf_field":""},{"help":"Period during which the veterinarian attended the animal","type":"date","label":"attended the said animal from the ____________________day of _________________20___ until the __________ day of ___________20__","options":[],"required":null,"pdf_field":""}],"filled_by":"veterinarian"},{"title":"Description of Animal","fields":[{"help":"Serial number of the animal","type":"number","label":"S.No.","options":[],"required":null,"pdf_field":""},{"help":"Sex of the animal","type":"text","label":"Sex","options":[],"required":null,"pdf_field":""},{"help":"Ear tag number of the animal","type":"text","label":"Ear Tag No.","options":[],"required":null,"pdf_field":""},{"help":"Breed of the animal","type":"text","label":"Breed","options":[],"required":null,"pdf_field":""},{"help":"Colour of the animal","type":"text","label":"Colour","options":[],"required":null,"pdf_field":""},{"help":"Distinctive marks on the animal","type":"text","label":"Marks","options":[],"required":null,"pdf_field":""},{"help":"Age of the animal","type":"text","label":"Age","options":[],"required":null,"pdf_field":""},{"help":"Value of the animal before illness","type":"amount","label":"Value prior to Illness","options":[],"required":null,"pdf_field":""}],"filled_by":"veterinarian"},{"title":"Cause and Details of Death","fields":[{"help":"Indicate if post mortem was conducted and attach report on reverse","type":"yes-no","label":"Did you conduct a post mortem? If so, give detailed report on reverse of this form.","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Cause of the animal's death","type":"text","label":"Cause of Death","options":[],"required":null,"pdf_field":""},{"help":"Explanation if death was due to disease","type":"text","label":"If from disease, how do you account for it?","options":[],"required":null,"pdf_field":""},{"help":"Details of accident and injuries if applicable","type":"text","label":"If from accident, where did it occur and nature of injuries?","options":[],"required":null,"pdf_field":""},{"help":"Details of operation if death was due to surgery","type":"text","label":"If from an operation, give date and nature of operation","options":[],"required":null,"pdf_field":""}],"filled_by":"veterinarian"},{"title":"Details for Milch Animals","fields":[{"help":"Date when the animal last calved","type":"date","label":"Date of last calving","options":[],"required":null,"pdf_field":""},{"help":"Months of pregnancy if applicable","type":"number","label":"Number of months the animal was pregnant","options":[],"required":null,"pdf_field":""},{"help":"Milk yield per day at start of current lactation","type":"number","label":"What was the milk yield per day during the start of the present lactation?","options":[],"required":null,"pdf_field":""},{"help":"Milk yield per day just before death","type":"number","label":"What was the milk yield per day prior to death","options":[],"required":null,"pdf_field":""}],"filled_by":"veterinarian"},{"title":"Care and Identification","fields":[{"help":"Confirm if the animal received proper care","type":"yes-no","label":"Had the animal every care and attention?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Confirm if the animal was examined for insurance and identified","type":"yes-no","label":"Did you examine for insurance and do you identify the animal?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"veterinarian"},{"title":"Declaration and Signature","fields":[{"help":"Date of signing","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Veterinarian's signature","type":"signature","label":"Signature","options":[],"required":null,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Name of the veterinarian","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"Veterinarian's qualification","type":"text","label":"Qualification","options":[],"required":null,"pdf_field":""},{"help":"Veterinarian's registration number","type":"text","label":"Reg. No.","options":[],"required":null,"pdf_field":""},{"help":"Veterinarian's address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""}],"filled_by":"veterinarian"}],"deadlines":["This Form should be completed without delay and forwarded direct to the Company."],"applies_to":"cattle claims","attachments":["post mortem report if conducted (on reverse of this form)"],"declarations":["The veterinarian warrants the truth of answers respecting the animal's death and knows of no material information withheld."],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"nia.[office code]@newindia.co.in","label":"Email for Claim Intimation (replace [office code] with actual code)","level":null,"hours":null,"applies_to":"all","source_url":"https://www.newindia.co.in/assets/docs/know-more/motor/Customer%20Information%20Sheet%20%28CIS%29%20Two%20Wheeler%20Package%20Policy.pdf","quote":"laim to The New India Assurance Co Ltd via– • Website – www.newindia.co.in • Toll Free Number – 1800-209-1415 • Email – nia.[office code]@newindia.co.in • Details of procedure to be followed for cashless service as well as for reimbursement of claim • Intimation of claim","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800-209-1415","label":"Toll Free Number for Claims Intimation","level":null,"hours":null,"applies_to":"all","source_url":"https://www.newindia.co.in/assets/docs/know-more/motor/Customer%20Information%20Sheet%20%28CIS%29%20Two%20Wheeler%20Package%20Policy.pdf","quote":"claimant may intimate claim to The New India Assurance Co Ltd via– • Website – www.newindia.co.in • Toll Free Number – 1800-209-1415 • Email – nia.[office code]@newindia.co.in • Details of procedure to be followed for cashless service as well as for re","fetched_at":"2026-10-20"}],"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/new-india-assurance/974-veterinary-certificate-for-cattle-claim"}