{"id":273,"title":"Claim Form (Section 9) – All In One Home Protector 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/Loan-payment-protection-Claim-Form-All-in-One-Home-Protector.pdf","sha256":"9de8ebd384ed2171f97381b622f72fab812583df5a309eae90df4c8f17ae9450","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to claim loan payment protection under the All In One Home Protector 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 provide complete details; attach separate sheet if space is insufficient.","Attach the duly filled and signed Personal Accident Insurance Claim Form along with this Claim Form.","If there is delay in obtaining any documents relating to the claim, return this Claim Form duly filled and signed first to the Policy Issuing Office."],"title":"Claim Form (Section 9) – All In One Home Protector Policy","submit":{"to":"Our Policy Issuing Office (mentioned in the Policy Schedule)","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured details","fields":[{"help":"","type":"text","label":"Policy No:","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Name of Insured:","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Address:","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Sum Insured:","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Particulars of Injury/ sickness/ disease","fields":[{"help":"Provide full details of the injury, sickness, or disease","type":"text","label":"Details of injury/ sickness/ disease:","options":[],"required":true,"pdf_field":""},{"help":"Attach a copy of the medical report provided by the practitioner","type":"text","label":"Name and address of Medical practitioner:","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Details of EMI","fields":[{"help":"Name of the bank or financer providing the loan","type":"text","label":"Bank/ Financer name","options":[],"required":true,"pdf_field":""},{"help":"Specify the type of loan","type":"text","label":"Type of Loan","options":[],"required":true,"pdf_field":""},{"help":"Date when EMI payments started","type":"date","label":"EMI start date","options":[],"required":true,"pdf_field":""},{"help":"Total number of EMI instalments","type":"number","label":"No. Of instalments","options":[],"required":true,"pdf_field":""},{"help":"Frequency of EMI payments (e.g. monthly)","type":"text","label":"Frequency of EMI","options":[],"required":true,"pdf_field":""},{"help":"Amount of each EMI in Indian Rupees","type":"amount","label":"EMI value (in Rs.)","options":[],"required":true,"pdf_field":""},{"help":"Any other relevant details about the EMI","type":"text","label":"Other Details (if any)","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Total estimate of outstanding EMIs","fields":[{"help":"Provide the total outstanding EMI amount","type":"amount","label":"Total estimate of outstanding EMIs","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Details of Other Existing Insurances","fields":[{"help":"Name and address of other insurance companies if any","type":"text","label":"Name & Address of Company","options":[],"required":false,"pdf_field":""},{"help":"Policy number of other insurances","type":"text","label":"Policy No.","options":[],"required":false,"pdf_field":""},{"help":"Sum insured under other policies","type":"amount","label":"Sum Insured","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Declaration and Signature","fields":[{"help":"Name of the claimant signing the form","type":"text","label":"Name:","options":[],"required":true,"pdf_field":""},{"help":"Signature of the claimant","type":"signature","label":"Signature:","options":[],"required":true,"pdf_field":""},{"help":"Date of signing the form","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":[],"applies_to":"Loan Payment Protection claims under the All In One Home Protector Policy","attachments":["Duly filled and signed Personal Accident Insurance Claim Form","Copy of report provided by Medical practitioner"],"declarations":["All statements made on this form are true to the best of my/our knowledge and belief."],"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/273-claim-form-section-9-all-in-one-home-protector-policy"}