{"id":994,"title":"“ALL RISKS” CLAIM FORM","purpose":"claim","insurer":{"slug":"oriental-insurance","name":"The Oriental Insurance Company Limited"},"source_pdf":"https://oicl-cms-media.s3.ap-south-1.amazonaws.com/All_Risks_Claim_Form_1_e193381c47.pdf","sha256":"ed649abde8dd551d21243b81413bd98c9a49aff295d69709a52bd61df9351a68","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for the claimant to report and claim for loss or damage under an All Risks insurance policy.","notes":["The issue of this form is not to be taken as an admission of liability."],"title":"“ALL RISKS” CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Claimant Details and Loss Information","fields":[{"help":"","type":"text","label":"POLICY NO.","options":[],"required":null,"pdf_field":"policy no"},{"help":"","type":"text","label":"CLAIM NO.","options":[],"required":null,"pdf_field":"claim no"},{"help":"Enter full name and address of the claimant","type":"text","label":"1. Name & Address:","options":[],"required":null,"pdf_field":"Text3"},{"help":"Enter your insurance policy number","type":"text","label":"2. Policy No:","options":[],"required":null,"pdf_field":"Text4"},{"help":"Enter the date when the loss or accident occurred","type":"date","label":"3. Date of Loss/Accident:","options":[],"required":null,"pdf_field":"Text5"},{"help":"Describe the loss or damage in detail","type":"text","label":"4. Description of Loss or damage:","options":[],"required":null,"pdf_field":"Text6"},{"help":"Explain the cause of the loss or damage","type":"text","label":"5. Cause Of Loss or Damage:","options":[],"required":null,"pdf_field":"Text7"},{"help":"Provide the time and day when the theft occurred","type":"text","label":"6. If by theft (a) Time & Day","options":[],"required":null,"pdf_field":"Text8"},{"help":"State if you have other insurance covering this loss","type":"text","label":"7. Are you Insured against the present loss under any other Policy?","options":[],"required":null,"pdf_field":"Text13"},{"help":"Enter the place where the form is signed","type":"text","label":"Place:","options":[],"required":null,"pdf_field":"Text14"},{"help":"Enter the date of signing","type":"date","label":"Date:","options":[],"required":null,"pdf_field":"Text15"},{"help":"Sign the form","type":"signature","label":"Insured’s Signature","options":[],"required":null,"pdf_field":"Signature18"}],"filled_by":"claimant"}],"deadlines":["THIS FORM SHOULD BE COMPLETED AND RETURNED TO THE COMPANY IMMEDIATELY"],"applies_to":"All Risks insurance claims","attachments":[],"declarations":["I declare that the foregoing statements are true to the best of my knowledge and belief.","The articles and property described were lost, stolen or damaged as described.","The articles and property belong to the persons named with no other interest."],"dropped_labels":4},"pdf_fields":[{"name":"policy no","page":1,"type":"text"},{"name":"claim no","page":1,"type":"text"},{"name":"Text3","page":1,"type":"text"},{"name":"Text4","page":1,"type":"text"},{"name":"Text5","page":1,"type":"text"},{"name":"Text6","page":1,"type":"text"},{"name":"Text7","page":1,"type":"text"},{"name":"Text8","page":1,"type":"text"},{"name":"Text9","page":1,"type":"text"},{"name":"Text10","page":1,"type":"text"},{"name":"Text11","page":1,"type":"text"},{"name":"Text12","page":1,"type":"text"},{"name":"Text13","page":1,"type":"text"},{"name":"Text14","page":1,"type":"text"},{"name":"Text15","page":1,"type":"text"},{"name":"Text16","page":1,"type":"text"},{"name":"Text17","page":1,"type":"text"},{"name":"Signature18","page":1,"type":"signature"}],"fillable_pdf":true,"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/oriental-insurance/994-all-risks-claim-form"}