{"id":263,"title":"CONSEQUENTIAL LOSS (FIRE) INSURANCE CLAIM FORMS","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/Consequential%20loss%20claims%20form.pdf","sha256":"1cf4dda46ab539b267a3651b2e72bfcf882df63a19fe15c14be78f5accce676d","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to claim consequential loss under fire insurance policies by providing details of the loss and its impact on business.","notes":["Fill in all blanks and give complete details; attach a separate sheet if space is insufficient."],"title":"CONSEQUENTIAL LOSS (FIRE) INSURANCE CLAIM FORMS","submit":{"to":"ADDRESS OF POLICY ISSUING OFFICE IFFCO-TOKIO GENERAL INSURANCE CO. LTD.","how":"","address":"34, Nehru Place, New Delhi - 110 019"},"purpose":"claim","sections":[{"title":"Claim Details","fields":[{"help":"","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Enter the date and time when the loss occurred","type":"date","label":"Date & Time of loss","options":[],"required":null,"pdf_field":""},{"help":"Provide full address where the loss happened","type":"text","label":"Location of Loss (Complete Address of Location)","options":[],"required":null,"pdf_field":""},{"help":"Enter the total number of days business was interrupted","type":"number","label":"Number of days for which your Business remained Interrupted","options":[],"required":null,"pdf_field":""},{"help":"Enter the usual business turnover amount","type":"amount","label":"Standard Turnover","options":[],"required":null,"pdf_field":""},{"help":"Estimate the reduction in turnover due to loss","type":"amount","label":"Reduction in Turnover (estimated)","options":[],"required":null,"pdf_field":""},{"help":"Provide the estimated monetary value of the loss","type":"amount","label":"Estimate of Loss (should contain monetary value of loss):","options":[],"required":null,"pdf_field":""},{"help":"Describe actions taken to minimize business interruption","type":"text","label":"Steps taken by you to reduce the impact of Business Interruption:","options":[],"required":null,"pdf_field":""},{"help":"Explain if loss was due to electricity or public utility failure","type":"text","label":"Did the loss occur because of failure of electricity supply/public utility (please give details)","options":[],"required":null,"pdf_field":""},{"help":"Provide details if loss was due to fire or allied perils","type":"text","label":"Did the loss arise out of a fire and/or allied perils (please give details)","options":[],"required":null,"pdf_field":""},{"help":"Provide details if loss was at customers' or suppliers' premises","type":"text","label":"Did the loss arise out of a fire and/or allied perils at customers'/suppliers premises (please give details)","options":[],"required":null,"pdf_field":""},{"help":"Provide details of any other insurance policies covering this loss","type":"text","label":"Details of Other Existing Insurances","options":[],"required":null,"pdf_field":""},{"help":"Name and address of other insurance company if applicable","type":"text","label":"Name & Address of Company","options":[],"required":null,"pdf_field":""},{"help":"Policy number of other insurance","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Sum insured under other insurance","type":"amount","label":"Sum Insured","options":[],"required":null,"pdf_field":""},{"help":"Additional information relevant to the claim","type":"text","label":"Any other information which you may like to give:","options":[],"required":false,"pdf_field":""},{"help":"Name of the claimant","type":"text","label":"Name:","options":[],"required":null,"pdf_field":""},{"help":"Signature of the claimant","type":"signature","label":"Signature:","options":[],"required":null,"pdf_field":""},{"help":"Date of signing the form","type":"date","label":"Date:","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":["Please return this form, duly filled & signed, within 15 days, from the date of occurrence."],"applies_to":"consequential loss claims under fire insurance policies","attachments":[],"declarations":["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."],"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/263-consequential-loss-fire-insurance-claim-forms"}