{"id":253,"title":"Fire Insurance Claim Form","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/Fire%20Insurance%20Claim%20Form.pdf","sha256":"f45b001a13b022f0990f7110b4d304cdd689868608f72aeb2369ef356b6cec74","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to claim compensation for losses due to fire under their fire insurance policy.","notes":["This Claim Form is issued without prejudice to the terms and conditions of the policy and issuance of this form should not be construed as admission of Liability.","Fill in all blanks and give complete details of information asked for.","If space provided is insufficient, annex a separate sheet."],"title":"Fire Insurance Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Claim Details","fields":[{"help":"Enter the claim number if available","type":"text","label":"Claim No.","options":[],"required":null,"pdf_field":""},{"help":"Enter the date this form is issued","type":"date","label":"Date of Issue","options":[],"required":null,"pdf_field":""},{"help":"Enter your fire insurance policy number","type":"text","label":"Policy No.","options":[],"required":true,"pdf_field":""},{"help":"Enter the date and time when the fire loss occurred","type":"date","label":"Date & Time of loss","options":[],"required":true,"pdf_field":""},{"help":"Provide the full address where the fire loss happened","type":"text","label":"Location of Loss (Complete Address of Location)","options":[],"required":true,"pdf_field":""},{"help":"Describe how the fire started, spread, and was controlled","type":"text","label":"Circumstances of loss (Brief write up as to how the fire took place and how it spread, fire fighting efforts made and how finally it could be controlled)","options":[],"required":true,"pdf_field":""},{"help":"Give your view on what caused the fire","type":"text","label":"Your opinion about the Cause of Fire","options":[],"required":true,"pdf_field":""},{"help":"List each block with estimated loss for Building, Plant & Machinery, Stocks, and Packing Material","type":"table","label":"Estimate of Loss (Give details as per schedule) Sr. No. Block Name Building P & M Stocks Packing Material","options":[],"required":true,"pdf_field":""},{"help":"Provide details of any other insurance policies covering the same loss","type":"table","label":"Details of Other Existing Insurances Name & Address of Company Policy No. Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"Enter your full name","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Sign the form to confirm the details are true","type":"signature","label":"Signature","options":[],"required":true,"pdf_field":""},{"help":"Enter the date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":["Please return this form, duly filled & signed, within 15 days from the date of occurrence."],"applies_to":"fire insurance claims","attachments":[],"declarations":["I, undersigned confirm that above given details are true & correct to the best of my knowledge."],"dropped_labels":0},"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/253-fire-insurance-claim-form"}