{"id":984,"title":"NEW INDIA GRIHA SUVIDHA CLAIM FORM","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/miscellaneous/griha-suvidha-insurance/NEW%20INDIA%20GRIHA%20SUVIDHA%20CLAIM%20FORM.pdf","sha256":"a26b90b5a7ce8439ff6c527958b9d5d1a22a475284e79f959bebba4843e14ff0","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for the insured person to claim for loss or damage under the New India Griha Suvidha insurance policy.","notes":[],"title":"NEW INDIA GRIHA SUVIDHA CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured Details","fields":[{"help":"","type":"text","label":"Name and Address of Insured :","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Telephone/Mobile No","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Insurance and Loss Details","fields":[{"help":"Enter the insurance coverage period","type":"text","label":"Period of Insurance","options":[],"required":null,"pdf_field":""},{"help":"Enter the date and time when the loss occurred","type":"date","label":"Date and Time of Loss","options":[],"required":null,"pdf_field":""},{"help":"Tick the applicable section under which the loss occurred","type":"choice","label":"Under which Section has the loss occurred( tick the section)","options":["Section 1","Section 2","Section 3","Section 4","Section 5","Section 6"],"required":null,"pdf_field":""},{"help":"Describe how the loss happened","type":"text","label":"a)Nature and Cause of Loss (Please describe the circumstances leading to the loss)","options":[],"required":null,"pdf_field":""},{"help":"List the contents lost or damaged","type":"text","label":"b) Details of the contents lost &/or damaged","options":[],"required":null,"pdf_field":""},{"help":"Provide details if insured with any other company for the same risk","type":"text","label":"Give details of Insurance with any other insurance Company on the risk involved in fire/accident/burglary/theft:","options":[],"required":null,"pdf_field":""},{"help":"Explain ownership interest if not sole owner","type":"text","label":"If insured is not sole owner, the nature of his/their Interest in the property and details of other interests","options":[],"required":null,"pdf_field":""},{"help":"Tick if loss was reported to Police or Fire Brigade and attach copy","type":"checkbox","label":"Whether Loss intimated to (tick against the box) Enclose the copy with the claim form","options":["Police","Fire Brigade"],"required":null,"pdf_field":""},{"help":"Provide cause of any previous claim on the property","type":"text","label":"Was any claim reported in the past on the same property during current policy period If so, give details reg : (a) Cause","options":[],"required":null,"pdf_field":""},{"help":"Date of previous claim incident","type":"date","label":"(b) Date of incident","options":[],"required":null,"pdf_field":""},{"help":"Previous claim number","type":"text","label":"(c) Claim Number","options":[],"required":null,"pdf_field":""},{"help":"Office that issued the previous policy","type":"text","label":"(d) Policy Issuing Office","options":[],"required":null,"pdf_field":""},{"help":"Amount paid or outstanding for previous claim","type":"amount","label":"(e) Amount of claim paid / Outstanding Rs.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration and Signature","fields":[{"help":"Enter place and date of signing","type":"text","label":"Place & Date","options":[],"required":null,"pdf_field":""},{"help":"Sign the form","type":"signature","label":"Signature of Insured","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"","attachments":["Copy of Police intimation (if loss intimated to Police)","Copy of Fire Brigade intimation (if loss intimated to Fire Brigade)"],"declarations":["The particulars furnished are true and correct to the best of the insured's knowledge."],"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/984-new-india-griha-suvidha-claim-form"}