{"id":274,"title":"Claim Form (Section 2, 6C) – 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/Burglary-Claim-Form-All-in-One-Home-Protector.pdf","sha256":"f6ecedfdd1202bac870e6ef71a0e36a90045ad7bd6c6f1acf922576271867a92","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to claim under Section 2 (Burglary & Housebreaking Including Larceny or Theft and Other Perils) or Section 6C (Pedal Cycle) of the All In One Home Protector Policy.","notes":["Fill in all blanks and provide complete details.","If space is insufficient, annex a separate sheet.","This form is issued without prejudice to the policy terms and is not an admission of liability."],"title":"Claim Form (Section 2, 6C) – All In One Home Protector Policy","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Claim Details and Policy Information","fields":[{"help":"Enter the claim number if available.","type":"text","label":"Claim No.:","options":[],"required":null,"pdf_field":""},{"help":"Enter the date the claim form is issued.","type":"date","label":"Date of Issue:","options":[],"required":null,"pdf_field":""},{"help":"Select the applicable section for your claim.","type":"choice","label":"Please tick the section in which the claim is preferred:","options":["Section 2 – Burglary & Housebreaking Including Larceny or Theft and Other Perils","Section 6C – Pedal Cycle"],"required":true,"pdf_field":""},{"help":"Enter your insurance policy number.","type":"text","label":"Policy Number","options":[],"required":true,"pdf_field":""},{"help":"Enter the name of the insured person.","type":"text","label":"Insured Name","options":[],"required":true,"pdf_field":""},{"help":"Enter the address where correspondence should be sent.","type":"text","label":"Address for Correspondence","options":[],"required":true,"pdf_field":""},{"help":"Enter the sum insured amount under the chosen section.","type":"amount","label":"Sum Insured under the Section","options":[],"required":true,"pdf_field":""},{"help":"Provide the full address where the loss occurred.","type":"text","label":"Complete Address of Location of Loss","options":[],"required":true,"pdf_field":""},{"help":"Enter the date and time when the loss happened.","type":"date","label":"Date and time of loss.","options":[],"required":true,"pdf_field":""},{"help":"State when and by whom the loss was discovered.","type":"text","label":"When was the loss discovered and by whom","options":[],"required":true,"pdf_field":""},{"help":"Describe how entry to the premises was affected during the loss.","type":"text","label":"How was entry to the premises affected?","options":[],"required":true,"pdf_field":""},{"help":"Indicate if the police were informed about the loss.","type":"yes-no","label":"Has the police been notified?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If police were notified, provide details of who notified, when, and the police station name.","type":"text","label":"If so, by whom & when and at which Police Station.","options":[],"required":false,"pdf_field":""},{"help":"If police were not notified, explain why.","type":"text","label":"If not, please state the reason.","options":[],"required":false,"pdf_field":""},{"help":"State whether the insured house was occupied at the time of loss.","type":"yes-no","label":"Was the Insured house occupied at the Time of the loss?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If unoccupied, provide the last date it was occupied.","type":"text","label":"If not, please specify when it was last occupied?","options":[],"required":false,"pdf_field":""},{"help":"State the duration the house has been unoccupied since policy start or renewal.","type":"text","label":"For how long, has the Insured house been unoccupied since the policy was effected or last renewed?","options":[],"required":false,"pdf_field":""},{"help":"Indicate if anyone is suspected of the theft or burglary.","type":"yes-no","label":"Is anybody suspected of the theft/burglary?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide full details of any suspected person(s).","type":"text","label":"If so, please state full details.","options":[],"required":false,"pdf_field":""},{"help":"Confirm if a thorough search was conducted when no evidence of theft or forcible entry exists.","type":"yes-no","label":"If there is no evidence of theft or of forcible entry of the premises, has a thorough search been made for the articles missing?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"State if you are the sole owner of the lost/damaged property and the premises.","type":"text","label":"Are you the sole owner of (i) the property lost or damaged? (ii) Of the premises?","options":[],"required":true,"pdf_field":""},{"help":"Indicate if you are responsible for repairs to the premises.","type":"yes-no","label":"Are you responsible for repairs to premises?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of any previous losses by burglary, housebreaking or theft.","type":"text","label":"Have you ever before sustained loss by burglary, housebreaking or theft? (If so, please state particulars)","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Bank Account and Other Insurance Details","fields":[{"help":"Provide bank account details of the primary insured.","type":"text","label":"DETAILS OF PRIMARY INSURED'S BANK ACCOUNT:","options":[],"required":null,"pdf_field":""},{"help":"List other insurance companies, policy numbers, and sum insured.","type":"table","label":"Details of Other Existing Insurances","options":[],"required":false,"pdf_field":""},{"help":"Provide the insured's bank account details as below.","type":"text","label":"DETAILS OF INSURED'S BANK ACCOUNT:","options":[],"required":null,"pdf_field":""},{"help":"Enter your PAN number.","type":"text","label":"a) PAN","options":[],"required":true,"pdf_field":""},{"help":"Enter your bank account number.","type":"text","label":"b) Account Number","options":[],"required":true,"pdf_field":""},{"help":"Enter the bank name and branch.","type":"text","label":"c) Bank Name and Branch:","options":[],"required":true,"pdf_field":""},{"help":"Provide details for cheque or demand draft payment.","type":"text","label":"d) Cheque/ DD Payable details:","options":[],"required":false,"pdf_field":""},{"help":"Enter the IFSC code of your bank branch.","type":"text","label":"e) IFSC Code:","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Declaration and Event Description","fields":[{"help":"Describe the event leading to the claim.","type":"text","label":"Description of event:","options":[],"required":true,"pdf_field":""},{"help":"Fill in details of stolen or damaged articles including ownership, source, purchase date, value, and claim amount.","type":"table","label":"Full description of articles stolen or property damaged; To whom the articles or property belonged; From whom purchased or received (Name and Address); Date purchase or receipt; Value of the article or property; Amount claimed","options":[],"required":true,"pdf_field":""},{"help":"Enter your full name.","type":"text","label":"Name:","options":[],"required":true,"pdf_field":""},{"help":"Sign the form.","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":"Section 2 – Burglary & Housebreaking Including Larceny or Theft and Other Perils; Section 6C – Pedal Cycle","attachments":["Attach a separate sheet if space provided is insufficient for details."],"declarations":["All statements made on this form are true to the best of my/our knowledge and belief.","The articles and property described belong to the persons named, with no other person having any interest.","If any false or fraudulent statement, suppression or concealment is made, the claim shall be forfeited and the policy null and void."],"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/274-claim-form-section-2-6c-all-in-one-home-protector-policy"}