{"id":277,"title":"Claim Form (Section 11C) – 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/Tenants-Liability-Claim-Form-All-in-One-Home-Protector.pdf","sha256":"b9699260849aff0177cb2b151a3a9c9ea1d875ddce7e3f424a18d11c177e9875","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for filing a tenants liability claim under the All In One Home Protector Policy. It is filled by the insured policyholder who is making the claim.","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; attach a separate sheet if space is insufficient."],"title":"Claim Form (Section 11C) – All In One Home Protector Policy","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":false,"pdf_field":""},{"help":"Enter the date this form is issued","type":"date","label":"Date of Issue","options":[],"required":false,"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 sum insured amount under this section","type":"amount","label":"Sum Insured under the Section","options":[],"required":true,"pdf_field":""},{"help":"Enter the date and time when the loss occurred","type":"date","label":"Date & Time of Loss","options":[],"required":true,"pdf_field":""},{"help":"Enter the full address where the loss occurred","type":"text","label":"Complete Address of Location","options":[],"required":true,"pdf_field":""},{"help":"Briefly describe how the loss or incident happened","type":"text","label":"Circumstances of loss (Brief write up as to how the incident took)","options":[],"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":"List any other insurance policies covering this loss, including company name, policy number, and sum insured","type":"text","label":"Details of Other Existing Insurances Name & Address of Company Policy No. Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"Provide a detailed schedule of estimated losses with description and amount in rupees","type":"table","label":"Estimate of Loss (Give details as per schedule) S. No. Description Estimated Loss (in Rs)","options":[],"required":true,"pdf_field":""}],"filled_by":"insured policyholder"},{"title":"Owner/Landlord's Bank Account Details","fields":[{"help":"Enter the landlord's full name","type":"text","label":"Name of the landlord","options":[],"required":true,"pdf_field":""},{"help":"Enter the landlord's PAN number","type":"text","label":"PAN","options":[],"required":true,"pdf_field":""},{"help":"Enter the landlord's bank account number","type":"text","label":"Account Number","options":[],"required":true,"pdf_field":""},{"help":"Enter the bank name and branch of the landlord's account","type":"text","label":"Bank Name and Branch","options":[],"required":true,"pdf_field":""},{"help":"Enter details for cheque or demand draft payment if applicable","type":"text","label":"Cheque/ DD Payable details","options":[],"required":false,"pdf_field":""},{"help":"Enter the IFSC code of the bank branch","type":"text","label":"IFSC Code","options":[],"required":true,"pdf_field":""}],"filled_by":"insured policyholder"},{"title":"Declaration and Signature","fields":[{"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":"insured policyholder"}],"deadlines":["Please return this form, duly filled & signed, within 15 days, from the date of occurrence."],"applies_to":"Section 11C - Tenants Liability claims under the All In One Home Protector Policy","attachments":[],"declarations":["All statements made on this form are true to the best of my/our knowledge.","If any false or fraudulent statement 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/277-claim-form-section-11c-all-in-one-home-protector-policy"}