{"id":2249,"title":"Claim Form- Trade Protector Insurance Policy","purpose":"claim","insurer":{"slug":"iffco-tokio-general-insurance","name":"IFFCO TOKIO General Insurance Company Limited"},"source_pdf":"https://www.iffcotokio.co.in/content/dam/iffcotokio/iffco-pdf/sites/default/files/pdf/Claim-Form-Trade-Protector-Insurance-Policy-Sookshma.pdf","sha256":"17341443a07efb1da98a16e759e574911a400f655d54be4566167fda95e25f26","pages":20,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to file various types of claims under the Trade Protector Insurance Policy, including material damage, burglary, money, fixed glass, electronic equipment, machinery breakdown, baggage, workmen's compensation, and marine insurance claims.","notes":["Fill in all blanks and give complete details of information asked for.","If space provided is insufficient, annex a separate sheet.","Use CAPITAL letters to fill the form.","Attach original vouchers, police complaints, quotations, and other relevant documents as required.","The issue of the claim form should not be construed as admission of liability.","For Workmen's Compensation claim, attach copies of all policies if insurance is effected with companies other than IFFCO-Tokio.","For Workmen's Compensation, provide statement of wages for up to 12 months preceding the accident.","For all claims, ensure timely submission within the specified deadlines."],"title":"Claim Form- Trade Protector Insurance Policy","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured's Details and Material Damage Claim","fields":[{"help":"Enter your insurance policy number.","type":"text","label":"Policy No.","options":[],"required":true,"pdf_field":""},{"help":"Enter the date and time when the loss occurred.","type":"date","label":"Date and time of loss","options":[],"required":true,"pdf_field":""},{"help":"Provide full address of the location where the risk is insured.","type":"text","label":"Complete risk location address.","options":[],"required":true,"pdf_field":""},{"help":"Enter the city of the risk location.","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"Enter the state of the risk location.","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Enter the postal code of the risk location.","type":"number","label":"Pin Code","options":[],"required":true,"pdf_field":""},{"help":"Name of the contact person for the claim.","type":"text","label":"Contact Person’s name","options":[],"required":true,"pdf_field":""},{"help":"Enter a mobile phone number.","type":"phone","label":"Mobile No.","options":[],"required":true,"pdf_field":""},{"help":"Designation of the contact person.","type":"text","label":"Designation","options":[],"required":false,"pdf_field":""},{"help":"Enter a valid email address.","type":"email","label":"Email Address","options":[],"required":false,"pdf_field":""},{"help":"Office landline number and availability hours.","type":"phone","label":"Telephone no. (O) (Landline) Availability between - ___ hrs to ___hrs","options":[],"required":false,"pdf_field":""},{"help":"Residence landline number and availability hours.","type":"phone","label":"Telephone no. (R) (Landline) Availability between - ___ hrs to ___hrs","options":[],"required":false,"pdf_field":""},{"help":"Describe the nature of the insured event and the claim amount.","type":"text","label":"Nature of Insured Event and Claim Amount","options":[],"required":true,"pdf_field":""},{"help":"Provide a detailed description of the incident and loss circumstances.","type":"text","label":"Details of Incident – Material Damage Claim - Circumstances of loss (Brief details as to how loss took place and how it spread, how loss minimization efforts made & how finally if could be controlled)","options":[],"required":true,"pdf_field":""},{"help":"Indicate if the premises was occupied when the loss occurred.","type":"yes-no","label":"Was the premises occupied at the time of loss?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide your opinion on what caused the loss.","type":"text","label":"Your Opinion about the cause of loss","options":[],"required":true,"pdf_field":""},{"help":"Fill in the schedule with details of damaged items and estimated loss amounts.","type":"table","label":"Fire Insurance Claim - Estimate of Loss (Please provide details as per schedule) - S No., Block Name, Building, Plant & Machinery, Stocks, Packing Material","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Electronic Equipment Insurance Claim","fields":[{"help":"Enter full name and address of the insured.","type":"text","label":"Name & Address of Insured","options":[],"required":true,"pdf_field":""},{"help":"Enter email address.","type":"email","label":"Email id","options":[],"required":false,"pdf_field":""},{"help":"Enter your policy number.","type":"text","label":"Policy Number","options":[],"required":true,"pdf_field":""},{"help":"Enter the insurance coverage period.","type":"text","label":"Period of Insurance","options":[],"required":true,"pdf_field":""},{"help":"Describe the electronic equipment affected.","type":"text","label":"Description of Item affected - Make / Model / Year of Mfr.","options":[],"required":true,"pdf_field":""},{"help":"Provide serial number if available.","type":"text","label":"Serial No. of item in schedule","options":[],"required":false,"pdf_field":""},{"help":"Provide identification number if any.","type":"text","label":"Identification No. of item","options":[],"required":false,"pdf_field":""},{"help":"Indicate if the item was used as per manufacturer's instructions.","type":"yes-no","label":"Was the item used as prescribed by the manufacturer?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe how and when the equipment failure occurred.","type":"text","label":"Circumstance of Loss (Brief write up on circumstances under which the equipment broke down and how & when it was detected)","options":[],"required":true,"pdf_field":""},{"help":"Provide your opinion on the cause of loss.","type":"text","label":"Your opinion about the cause of loss","options":[],"required":true,"pdf_field":""},{"help":"Specify where the item was located when loss occurred.","type":"text","label":"Location of item at the time of loss","options":[],"required":true,"pdf_field":""},{"help":"Provide current location for inspection.","type":"text","label":"Where can it be examined now?","options":[],"required":true,"pdf_field":""},{"help":"Indicate if the item has been dismantled.","type":"yes-no","label":"Has item been dismantled?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if item is under Annual Maintenance Contract.","type":"yes-no","label":"Is item covered under any A.M.C.?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if item is under warranty.","type":"yes-no","label":"Is the item under warranty?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe the extent of damage or loss.","type":"text","label":"Extent of damage / loss","options":[],"required":true,"pdf_field":""},{"help":"Provide repair cost estimate or quotation if available.","type":"amount","label":"Estimated amount for repair / Quote if any","options":[],"required":false,"pdf_field":""},{"help":"Describe data loss and recovery efforts if applicable.","type":"text","label":"Loss to External Data Media (if applicable); please list out the type of data lost and the way the same is being replaced/reconstructed","options":[],"required":false,"pdf_field":""},{"help":"Provide details of any increased operational costs due to loss.","type":"text","label":"Increased Cost of working (if applicable); specific details of the increased cost likely to be incurred may please be provided","options":[],"required":false,"pdf_field":""},{"help":"List other insurance policies covering the item.","type":"table","label":"Details of Other Existing Insurances - Name & Address of Company, Policy No., Sum Insured","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Burglary & Allied Perils Claim Form","fields":[{"help":"Enter claim number if available.","type":"text","label":"Claim No","options":[],"required":false,"pdf_field":""},{"help":"Enter your policy number.","type":"text","label":"Policy No","options":[],"required":true,"pdf_field":""},{"help":"Enter full name of insured.","type":"text","label":"Name of Insured (in full)","options":[],"required":true,"pdf_field":""},{"help":"Enter address of insured.","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"Enter nature of business.","type":"text","label":"Business","options":[],"required":false,"pdf_field":""},{"help":"Describe loss and when it happened.","type":"text","label":"Describe the nature of loss along with date / time of occurrence of the loss","options":[],"required":true,"pdf_field":""},{"help":"Enter date when loss was discovered.","type":"date","label":"Date of discovery of loss","options":[],"required":true,"pdf_field":""},{"help":"Provide address of loss location.","type":"text","label":"Address of the premises where loss occurred","options":[],"required":true,"pdf_field":""},{"help":"Describe occupancy status of premises.","type":"text","label":"How was the premises occupied?","options":[],"required":true,"pdf_field":""},{"help":"Provide last occupancy date if applicable.","type":"text","label":"If not occupied when was it last occupied","options":[],"required":false,"pdf_field":""},{"help":"Name of person reporting loss and attach statement.","type":"text","label":"By whom was the loss reported? (A copy of written statement to be attached)","options":[],"required":true,"pdf_field":""},{"help":"Explain how the loss happened.","type":"text","label":"How did the loss occur?","options":[],"required":true,"pdf_field":""},{"help":"Explain cause if impact damage.","type":"text","label":"If due to impact damage what caused the object to fall?","options":[],"required":false,"pdf_field":""},{"help":"Describe entry/exit method if burglary.","type":"text","label":"If due to burglary, how was entry/exit to the premises done?","options":[],"required":false,"pdf_field":""},{"help":"Indicate responsibility for repairs.","type":"yes-no","label":"Are you responsible for repair to premises?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Number of persons involved in loss.","type":"number","label":"How many persons were involved?","options":[],"required":false,"pdf_field":""},{"help":"Provide details if suspecting anyone.","type":"text","label":"Do you suspect anyone? If so give details.","options":[],"required":false,"pdf_field":""},{"help":"Provide police complaint details.","type":"text","label":"Has complaint been lodged with the Police? If so, by whom & when at which Police Station?","options":[],"required":true,"pdf_field":""},{"help":"Attach police complaint copy.","type":"attachment","label":"Please attach a copy of the Police Complaint","options":[],"required":true,"pdf_field":""},{"help":"Confirm if police report has been made.","type":"checkbox","label":"If not reported, please do so immediately and copy given to us.","options":["Reported","Not Reported"],"required":false,"pdf_field":""},{"help":"Provide estimated loss and total value.","type":"amount","label":"State the amount of loss & the total value of Building & Contents at the time of the loss","options":[],"required":true,"pdf_field":""},{"help":"Describe loss minimization efforts.","type":"text","label":"What steps have been taken to minimize the loss?","options":[],"required":false,"pdf_field":""},{"help":"Provide details of previous similar losses.","type":"text","label":"Have you ever before sustained a loss of this nature? If so give particulars","options":[],"required":false,"pdf_field":""},{"help":"List other insurances covering the assets.","type":"text","label":"Are there any other insurances upon the same assets? If so, give particulars.","options":[],"required":false,"pdf_field":""},{"help":"Sign the form.","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing.","type":"text","label":"Place","options":[],"required":false,"pdf_field":""},{"help":"Enter date of signing.","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Money Insurance Claim Form","fields":[{"help":"Enter claim number if available.","type":"text","label":"Claim No","options":[],"required":false,"pdf_field":""},{"help":"Enter your policy number.","type":"text","label":"Policy No","options":[],"required":true,"pdf_field":""},{"help":"Enter full name of insured.","type":"text","label":"Name of Insured (in full)","options":[],"required":true,"pdf_field":""},{"help":"Enter address of insured.","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"Enter nature of business.","type":"text","label":"Business","options":[],"required":false,"pdf_field":""},{"help":"Enter date and time when loss occurred.","type":"date","label":"Date and time of occurrence of loss","options":[],"required":true,"pdf_field":""},{"help":"Enter date when loss was discovered.","type":"date","label":"Date of discovery of loss","options":[],"required":true,"pdf_field":""},{"help":"Describe transit route of money.","type":"text","label":"What were the places between which money was in transit?","options":[],"required":false,"pdf_field":""},{"help":"Specify location of loss.","type":"text","label":"Where did the loss occur?","options":[],"required":true,"pdf_field":""},{"help":"Name of person reporting loss and attach statement.","type":"text","label":"By whom was the loss reported? (A copy of written statement to be attached)","options":[],"required":true,"pdf_field":""},{"help":"Name of custodian of money.","type":"text","label":"In whose custody was the money at the time of the loss?","options":[],"required":true,"pdf_field":""},{"help":"List other persons accompanying.","type":"text","label":"Who were the other persons accompanying the person carrying the money?","options":[],"required":false,"pdf_field":""},{"help":"Number of persons accompanying.","type":"number","label":"How many persons accompanied him?","options":[],"required":false,"pdf_field":""},{"help":"Describe circumstances of loss.","type":"text","label":"Brief details as to the exact circumstances under which the loss occurred","options":[],"required":true,"pdf_field":""},{"help":"Describe how money was carried.","type":"text","label":"How was the money carried? (whether in pocket, bag, box etc.)","options":[],"required":true,"pdf_field":""},{"help":"Indicate if containers were locked.","type":"yes-no","label":"Whether such bags, boxes, etc. were securely locked?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Specify mode of transport.","type":"text","label":"By what conveyance was the money carried?","options":[],"required":false,"pdf_field":""},{"help":"Enter amount of money carried.","type":"amount","label":"What was the amount of money being carried?","options":[],"required":true,"pdf_field":""},{"help":"Confirm if amount was checked.","type":"yes-no","label":"Was the total amount checked at the time of handing it over to the messenger?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Confirm if acknowledgement was received.","type":"yes-no","label":"Was any acknowledgement received from him?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount lost.","type":"amount","label":"What was the amount of loss?","options":[],"required":true,"pdf_field":""},{"help":"Confirm if police complaint made and attach copy.","type":"checkbox","label":"Has a complaint been made to the Police? If so, attach a copy thereof, If not, this may be done immediately.","options":["Complaint made","Not made"],"required":false,"pdf_field":""},{"help":"Describe recovery efforts.","type":"text","label":"What steps have been taken to recover the lost money?","options":[],"required":false,"pdf_field":""},{"help":"Enter employee joining date.","type":"date","label":"When did the employee concerned enter your service?","options":[],"required":false,"pdf_field":""},{"help":"Indicate if employee had prior involvement.","type":"yes-no","label":"Was any one of them involved in a similar loss before?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Confirm if employee statements are satisfactory.","type":"yes-no","label":"Are you satisfied the version given by them is correct?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide details of fidelity guarantee coverage.","type":"text","label":"Are any of them covered under any Fidelity Guarantee Policy? If so, give details.","options":[],"required":false,"pdf_field":""},{"help":"Provide details of any security held.","type":"text","label":"Do you hold any cash deposit or any other security from them?","options":[],"required":false,"pdf_field":""},{"help":"Provide details of previous similar losses.","type":"text","label":"Have you ever before sustained a loss of this nature? If so give particulars","options":[],"required":false,"pdf_field":""},{"help":"List other insurances covering the money.","type":"text","label":"Are there any other insurances upon the same money? If so, give particulars.","options":[],"required":false,"pdf_field":""},{"help":"Sign the form.","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing.","type":"text","label":"Place","options":[],"required":false,"pdf_field":""},{"help":"Enter date of signing.","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Fixed Glass & Sanitary Fittings Claim Form","fields":[{"help":"Enter claim number if available.","type":"text","label":"Claim No","options":[],"required":false,"pdf_field":""},{"help":"Enter your policy number.","type":"text","label":"Policy No","options":[],"required":true,"pdf_field":""},{"help":"Enter full name of insured.","type":"text","label":"Name of Insured (in full)","options":[],"required":true,"pdf_field":""},{"help":"Enter address of insured.","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"Enter nature of business.","type":"text","label":"Business","options":[],"required":false,"pdf_field":""},{"help":"Enter date and time of loss.","type":"date","label":"Date and time of occurrence of loss","options":[],"required":true,"pdf_field":""},{"help":"Enter date loss was discovered.","type":"date","label":"Date of discovery of loss","options":[],"required":true,"pdf_field":""},{"help":"Describe how loss happened.","type":"text","label":"How did the loss occur?","options":[],"required":true,"pdf_field":""},{"help":"Explain cause of breakage.","type":"text","label":"Cause of breakage?","options":[],"required":true,"pdf_field":""},{"help":"Name of person reporting loss.","type":"text","label":"By whom was the loss reported?","options":[],"required":true,"pdf_field":""},{"help":"Provide details if applicable.","type":"text","label":"If caused by a person not in Insured’s service state his / her name & address.","options":[],"required":false,"pdf_field":""},{"help":"Indicate if police complaint made.","type":"yes-no","label":"Has complaint been made to the police?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide witness details if any.","type":"text","label":"Name and address of witness if any","options":[],"required":false,"pdf_field":""},{"help":"Select claim status.","type":"choice","label":"Is insured claiming as tenant or owner","options":["Tenant","Owner"],"required":true,"pdf_field":""},{"help":"Indicate occupancy status.","type":"yes-no","label":"Is the premises currently occupied?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide other insurance details.","type":"text","label":"Is there any other insurance against the present loss under any other policy? If so give details","options":[],"required":false,"pdf_field":""},{"help":"Describe items and loss amount.","type":"text","label":"What is the amount of loss? a) Description of items / size, b) Frame / Frame work, c) Tinting, Lettering, silvering etc.","options":[],"required":true,"pdf_field":""},{"help":"List other damaged items.","type":"text","label":"Details of any other items damaged due to breakage of glass / sanitaryware?","options":[],"required":false,"pdf_field":""},{"help":"Indicate if items were business incidental.","type":"yes-no","label":"Were these items incidental to the business?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide cost of other damaged items.","type":"amount","label":"Cost of such items?","options":[],"required":false,"pdf_field":""},{"help":"Provide details of previous similar losses.","type":"text","label":"Have you ever before sustained a loss of this nature? If so give particulars","options":[],"required":false,"pdf_field":""},{"help":"List other insurances covering glass/sanitary ware.","type":"text","label":"Are there any other insurances covering the same Glass / Sanitary ware? If so, please give particulars.","options":[],"required":false,"pdf_field":""},{"help":"Sign the form.","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing.","type":"text","label":"Place","options":[],"required":false,"pdf_field":""},{"help":"Enter date of signing.","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Machinery Breakdown Claim Form","fields":[{"help":"Enter your policy number.","type":"text","label":"Policy No.","options":[],"required":true,"pdf_field":""},{"help":"Enter date and time of breakdown.","type":"date","label":"Date & Time of breakdown","options":[],"required":true,"pdf_field":""},{"help":"Provide full address of machine location.","type":"text","label":"Machine which broke down was installed at (Complete Address of Location)","options":[],"required":true,"pdf_field":""},{"help":"Provide your opinion on cause of breakdown.","type":"text","label":"Your opinion about the Cause of Breakdown","options":[],"required":true,"pdf_field":""},{"help":"Describe the machine as per policy schedule.","type":"text","label":"Schedule Item of Policy - Description of Machine","options":[],"required":true,"pdf_field":""},{"help":"Provide machine specifications.","type":"text","label":"Specification of Machine","options":[],"required":false,"pdf_field":""},{"help":"Describe extent of damage.","type":"text","label":"Extent of Damage","options":[],"required":true,"pdf_field":""},{"help":"Provide repair cost estimate and attach quotation.","type":"amount","label":"Cost of Repair (attach copy of Quotation)","options":[],"required":false,"pdf_field":""},{"help":"List other insurances covering the machine.","type":"table","label":"Details of Other Existing Insurances - Name & Address of Company, Policy No., Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"Name of claimant.","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Sign the form.","type":"signature","label":"Signature","options":[],"required":true,"pdf_field":""},{"help":"Date of signing.","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Baggage Insurance Claim Form","fields":[{"help":"Enter claim number if available.","type":"text","label":"Claim No","options":[],"required":false,"pdf_field":""},{"help":"Enter your policy number.","type":"text","label":"Policy No","options":[],"required":true,"pdf_field":""},{"help":"Enter full name of insured.","type":"text","label":"Name of Insured (in full)","options":[],"required":true,"pdf_field":""},{"help":"Enter address of insured.","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"Enter nature of business.","type":"text","label":"Business","options":[],"required":false,"pdf_field":""},{"help":"Enter date and time of loss.","type":"date","label":"Date and time of occurrence of loss","options":[],"required":true,"pdf_field":""},{"help":"Enter date/time loss was discovered.","type":"date","label":"Date / Time of discovery of loss","options":[],"required":true,"pdf_field":""},{"help":"Specify location of discovery.","type":"text","label":"Where was the loss discovered if in transit?","options":[],"required":false,"pdf_field":""},{"help":"Name of person reporting loss and attach statement.","type":"text","label":"By whom was the loss reported? (A copy of written statement to be attached)","options":[],"required":true,"pdf_field":""},{"help":"Name of custodian of baggage.","type":"text","label":"In whose custody was the baggage at the time of the loss?","options":[],"required":true,"pdf_field":""},{"help":"List other persons accompanying.","type":"text","label":"Were there other persons accompanying the person carrying the baggage?","options":[],"required":false,"pdf_field":""},{"help":"Describe circumstances of loss.","type":"text","label":"Brief details as to the exact circumstances under which the loss occurred","options":[],"required":true,"pdf_field":""},{"help":"Enter amount of money in baggage.","type":"amount","label":"What was the amount of money being carried in the baggage?","options":[],"required":false,"pdf_field":""},{"help":"List items and approximate costs.","type":"text","label":"What were the items in the baggage along with approximate costs?","options":[],"required":false,"pdf_field":""},{"help":"Indicate if baggage was locked.","type":"yes-no","label":"Were the baggage locked?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter total loss amount.","type":"amount","label":"What was the total amount of loss?","options":[],"required":true,"pdf_field":""},{"help":"Confirm if police complaint made and attach copy.","type":"checkbox","label":"Has a complaint been made to the Police? If so, attach a copy thereof, If not, this may be done immediately.","options":["Complaint made","Not made"],"required":false,"pdf_field":""},{"help":"Describe recovery efforts.","type":"text","label":"What steps have been taken to recover the lost baggage?","options":[],"required":false,"pdf_field":""},{"help":"Indicate employee involvement.","type":"yes-no","label":"Is any employee involved in the incident?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate prior involvement.","type":"yes-no","label":"Was any one of them involved in a similar loss before?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Confirm if employee statements are satisfactory.","type":"yes-no","label":"Are you satisfied the version given by them is correct?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide details of fidelity guarantee coverage.","type":"text","label":"Are any of them covered under any Fidelity Guarantee Policy? If so, give details.","options":[],"required":false,"pdf_field":""},{"help":"Provide details of any security held.","type":"text","label":"Do you hold any cash deposit or any other security from them?","options":[],"required":false,"pdf_field":""},{"help":"Provide details of previous similar losses.","type":"text","label":"Have you ever before sustained a loss of this nature? If so give particulars","options":[],"required":false,"pdf_field":""},{"help":"List other insurances covering the baggage.","type":"text","label":"Are there any other insurances upon the same baggage? If so, give particulars.","options":[],"required":false,"pdf_field":""},{"help":"Sign the form.","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing.","type":"text","label":"Place","options":[],"required":false,"pdf_field":""},{"help":"Enter date of signing.","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Workmen's Compensation (W.C.) Claim Form","fields":[{"help":"Enter claim number if available.","type":"text","label":"Claim No","options":[],"required":false,"pdf_field":""},{"help":"Enter policy number.","type":"text","label":"Policy No","options":[],"required":true,"pdf_field":""},{"help":"List other insurances if any.","type":"table","label":"Insurances Effected - Company, Policy No., Full Description of Interest covered, Estimated Amount of wages","options":[],"required":false,"pdf_field":""},{"help":"Describe injured person's activity at accident time.","type":"text","label":"Was the injured person engaged in the occupation when the accident occurred? If not, state exactly nature of work done at that time.","options":[],"required":true,"pdf_field":""},{"help":"Provide employment details and attach wage voucher.","type":"text","label":"Is the injured person in your direct employ? If so, state the date of appointment. If not, give name and address of contractor under whom employed and nature of work entrusted to contractor (Copy of the last voucher obtained from the injured person for the wages paid to be attached)","options":[],"required":true,"pdf_field":""},{"help":"Specify policy coverage item.","type":"text","label":"Under what Item of the policy is the injured workman covered?","options":[],"required":true,"pdf_field":""},{"help":"Agree to the declaration.","type":"checkbox","label":"I /We hereby declare that the foregoing particulars are true and correct in every respect.","options":["Agree"],"required":true,"pdf_field":""},{"help":"Enter place of signing.","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Enter date of signing.","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Sign the form.","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"Employer to sign the wages statement.","type":"signature","label":"Signature of Employer","options":[],"required":true,"pdf_field":""},{"help":"Date of employer's signature.","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"employer"},{"title":"Marine Insurance Claim Form","fields":[{"help":"Enter claim number if available.","type":"text","label":"Claim No","options":[],"required":false,"pdf_field":""},{"help":"Enter policy or cover number.","type":"text","label":"Policy / Cover No.","options":[],"required":true,"pdf_field":""},{"help":"Enter certificate number and date if applicable.","type":"text","label":"Certificate No. / Date","options":[],"required":false,"pdf_field":""},{"help":"Enter name and address of interested party.","type":"text","label":"Interested Party (Name & complete Address)","options":[],"required":true,"pdf_field":""},{"help":"Enter date loss was detected.","type":"date","label":"When the Loss was detected","options":[],"required":true,"pdf_field":""},{"help":"Indicate if damage certificate obtained.","type":"yes-no","label":"Damage Certificate from Carriers Obtained","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if claim on carriers lodged.","type":"yes-no","label":"Monetary Claim on Carriers Lodged","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Specify voyage or journey details.","type":"text","label":"Voyage / Journey Covered (From:, To:)","options":[],"required":true,"pdf_field":""},{"help":"Describe goods insured.","type":"text","label":"Description of Goods in transit","options":[],"required":true,"pdf_field":""},{"help":"Specify mode of transport.","type":"text","label":"Mode of Transportation","options":[],"required":true,"pdf_field":""},{"help":"Describe packing type.","type":"text","label":"Type of Packing","options":[],"required":true,"pdf_field":""},{"help":"Describe damage type.","type":"text","label":"Type of Damage","options":[],"required":true,"pdf_field":""},{"help":"Describe extent of damage.","type":"text","label":"Extent of Damage","options":[],"required":true,"pdf_field":""},{"help":"Provide invoice number and date.","type":"text","label":"Invoice No. / Date","options":[],"required":false,"pdf_field":""},{"help":"Provide bill of lading or airway bill details.","type":"text","label":"Bill of Lading / Airway Bill No. / Date","options":[],"required":false,"pdf_field":""},{"help":"Provide bill of entry details.","type":"text","label":"Bill of Entry No. / Date","options":[],"required":false,"pdf_field":""},{"help":"Provide consignment note details.","type":"text","label":"Consignment Note No. / Date","options":[],"required":false,"pdf_field":""},{"help":"Provide material receipt report details.","type":"text","label":"Material Receipt Report No. / Date","options":[],"required":false,"pdf_field":""},{"help":"Specify basis for valuation of loss.","type":"text","label":"Basis of Valuation","options":[],"required":true,"pdf_field":""},{"help":"Enter amount claimed.","type":"amount","label":"Amount Claimed","options":[],"required":true,"pdf_field":""},{"help":"List other insurances covering the goods.","type":"table","label":"Details of Other Existing Insurances - Name & Address of Company, Policy No., Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"Name of claimant.","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Sign the form.","type":"signature","label":"Signature","options":[],"required":true,"pdf_field":""},{"help":"Date of signing.","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":["Return this form, duly filled & signed, within 30 days from the date of its issuance (Material Damage Claim)","Return the form completed within Fourteen days of the loss together with the relevant vouchers etc. (Burglary, Money, Fixed Glass, Electronic Equipment, Machinery Breakdown, Baggage Claims)","Return the form, duly filled & signed, within 7 days from the date of its issuance (Marine Insurance Claim)"],"applies_to":"Claims under the Trade Protector Insurance Policy for different insured events such as fire, burglary, money loss, fixed glass breakage, electronic equipment damage, machinery breakdown, baggage loss, workmen's compensation, and marine insurance claims.","attachments":["Copy of written statement reporting loss (where applicable)","Copy of Police Complaint (where applicable)","Quotation for repair (where applicable)","Preliminary Medical Report (for Workmen's Compensation)","Fitness certificate of attendant doctor (for Workmen's Compensation)","Damage Certificate from Carriers (Marine Insurance)","Other insurance policy copies (if insurance effected with other companies)"],"declarations":["The information furnished in this claim form is true and correct to the best of my knowledge and belief.","False or untrue statements, suppression or concealment of material facts will forfeit the right to claim reimbursement.","I have included all the documents for the purpose of this claim.","The claim form is issued without prejudice to the terms and conditions of the policy and does not constitute admission of liability.","I hereby declare that the foregoing particulars are true and correct in every respect."],"dropped_labels":12},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"address","value":"policy issuing Branch","label":"Walk in claim intimation","level":null,"hours":"Mon- Fri 09:30 AM to 06:00 PM (Except for National Holidays)","applies_to":"all","source_url":"https://www.iffcotokio.co.in/claims/register-a-claim","quote":"65 days.\nToll No. 1800-103-5499\nWalk in\nShall you wish to intimate your claim in person, please feel free to visit your policy issuing Branch Mon- Fri 09:30 AM to 06:00 PM (Except for National Holidays). Please refer to our\nBranch Locator\nfor information on our","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"support@iffcotokio.co.in","label":"Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.iffcotokio.co.in/contact-us/customer-services/grievance-redressal","quote":"se\nTelugu\nOriya\nPolicy Copy\nService Request\nLocators\nClaims\nRegister Claim\nClaim Status\nToll free: 1800-103-5499\nEmail: support@iffcotokio.co.in\nSay Hi to IRA: 7993407777\nEnglish\nHindi\nMarathi\nGujarati\nPunjabi\nMalayalam\nTamil\nBengali\nKannada\nAssamese\nTelugu\nOriya","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800-103-5499","label":"Toll free","level":null,"hours":"24 X 7","applies_to":"all","source_url":"https://www.iffcotokio.co.in/contact-us/customer-services/grievance-redressal","quote":"engali\nKannada\nAssamese\nTelugu\nOriya\nPolicy Copy\nService Request\nLocators\nClaims\nRegister Claim\nClaim Status\nToll free: 1800-103-5499\nEmail: support@iffcotokio.co.in\nSay Hi to IRA: 7993407777\nEnglish\nHindi\nMarathi\nGujarati\nPunjabi\nMalayalam\nTamil\nBengal","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"sms","value":"56161","label":"SMS “CLAIM” to 56161","level":null,"hours":null,"applies_to":"all","source_url":"https://www.iffcotokio.co.in/claims/register-a-claim","quote":"avor to take customer service at newer heights, we now bring claim Intimation at your fingertips. Please SMS “CLAIM” to 56161 and one of our Claims representatives will get in touch with you in 4 Working Hours.\n* Note:\nPlease have all the detail","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"whatsapp","value":"7993407777","label":"Say Hi to IRA","level":null,"hours":null,"applies_to":"all","source_url":"https://www.iffcotokio.co.in/contact-us/customer-services/grievance-redressal","quote":"est\nLocators\nClaims\nRegister Claim\nClaim Status\nToll free: 1800-103-5499\nEmail: support@iffcotokio.co.in\nSay Hi to IRA: 7993407777\nEnglish\nHindi\nMarathi\nGujarati\nPunjabi\nMalayalam\nTamil\nBengali\nKannada\nAssamese\nTelugu\nOriya\nCustomer Login\nAgent Login","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/iffco-tokio-general-insurance/2249-claim-form-trade-protector-insurance-policy"}