{"id":288,"title":"Claim Form: Kidnap And Ransom Protection Policy (Notification of claim or circumstance out of which a claim may arise)","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/Claim-Form-KR.pdf","sha256":"86fac5e946e3cb4b89c256072fb2ad964e8ce5c01db41871be90d5f92d549c30","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is for notifying a claim or circumstance that may give rise to a claim under the Kidnap and Ransom Protection Policy. It is to be filled by a Partner, Director, or Principal of the Insured.","notes":["The form must be signed by a Partner, Director or Principal of the Insured.","All questions must be answered as fully as possible.","Use additional sheets if necessary.","Attach copies of relevant documentation.","All enquiries by the press must be handled by one representative.","Copies must be maintained of all documents handed over to agencies."],"title":"Claim Form: Kidnap And Ransom Protection Policy (Notification of claim or circumstance out of which a claim may arise)","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"SECTION 1: DETAILS OF THE INSURED","fields":[{"help":"","type":"text","label":"Full Name of the Insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address of the Insured: Postcode","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Contact person","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Telephone No","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Fax No","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email","options":[],"required":null,"pdf_field":""}],"filled_by":"Insured"},{"title":"SECTION 2: POLICY DETAILS","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"Enter the start and end dates of the policy period","type":"text","label":"Policy Period","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is there any other insurance that may be applicable to this notification? Yes [___ ] No [_____ ]","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Fill only if other insurance is applicable","type":"text","label":"If YES, please provide the following details","options":[],"required":null,"pdf_field":""},{"help":"Other insurance policy holder name","type":"text","label":"Policy Holder","options":[],"required":null,"pdf_field":""},{"help":"Other insurance company name","type":"text","label":"Insurer","options":[],"required":null,"pdf_field":""},{"help":"Type of other insurance","type":"text","label":"Type of Insurance","options":[],"required":null,"pdf_field":""},{"help":"Period of other insurance","type":"text","label":"Period of Insurance","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Has the matter been notified to that insurer? Yes [____ ] No [_____ ]","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Claim reference number with other insurer if notified","type":"text","label":"Insured’s Claim Ref No","options":[],"required":null,"pdf_field":""}],"filled_by":"Insured"},{"title":"SECTION 3: DETAILS OF THE CLAIM OR CIRCUMSTANCE","fields":[{"help":"Describe date, time and manner of first knowledge of the event","type":"text","label":"When and how did you first come to know the event/circumstances which has given rise to the claims","options":[],"required":null,"pdf_field":""},{"help":"Name or description of the hostage","type":"text","label":"Identity of Hostage","options":[],"required":null,"pdf_field":""},{"help":"Provide exact or approximate date and time","type":"date","label":"Date and time of Kidnap/Extortion","options":[],"required":null,"pdf_field":""},{"help":"Include dates, times, content and mode of communication","type":"text","label":"Details of all the communications made with the kidnapper","options":[],"required":null,"pdf_field":""},{"help":"Specify ransom or other demands","type":"text","label":"Demands made if any","options":[],"required":null,"pdf_field":""},{"help":"Describe how demands were communicated (phone, letter, etc.)","type":"text","label":"Method used by kidnappers to transmit their demands","options":[],"required":null,"pdf_field":""},{"help":"List any injuries or deaths","type":"text","label":"Casualties if any","options":[],"required":null,"pdf_field":""},{"help":"Describe steps taken by the company so far","type":"text","label":"Company action to date","options":[],"required":null,"pdf_field":""},{"help":"Describe any media or press involvement","type":"text","label":"Press involvement, if any","options":[],"required":null,"pdf_field":""},{"help":"Provide any known details about kidnappers","type":"text","label":"Identity of the kidnappers if known","options":[],"required":null,"pdf_field":""},{"help":"Name and contact info of company representative handling the case","type":"text","label":"Contact Details of the company representative","options":[],"required":null,"pdf_field":""},{"help":"Chronological details of important events related to the claim","type":"text","label":"Details of all significant events","options":[],"required":null,"pdf_field":""}],"filled_by":"Insured"},{"title":"SECTION 6: LIST OF DOCUMENTS ATTACHED","fields":[{"help":"List documents attached to support the claim","type":"attachment","label":"1.","options":[],"required":null,"pdf_field":""},{"help":"","type":"attachment","label":"2.","options":[],"required":null,"pdf_field":""},{"help":"","type":"attachment","label":"3.","options":[],"required":null,"pdf_field":""},{"help":"","type":"attachment","label":"4.","options":[],"required":null,"pdf_field":""},{"help":"","type":"attachment","label":"5.","options":[],"required":null,"pdf_field":""},{"help":"","type":"attachment","label":"6.","options":[],"required":null,"pdf_field":""},{"help":"","type":"attachment","label":"7.","options":[],"required":null,"pdf_field":""},{"help":"","type":"attachment","label":"8.","options":[],"required":null,"pdf_field":""},{"help":"","type":"attachment","label":"9.","options":[],"required":null,"pdf_field":""},{"help":"","type":"attachment","label":"10.","options":[],"required":null,"pdf_field":""}],"filled_by":"Insured"},{"title":"SECTION 7: DECLARATION","fields":[{"help":"Name of the Partner, Director or Principal signing the form","type":"text","label":"Authorized Signatory (Name)","options":[],"required":true,"pdf_field":""},{"help":"Signature and company stamp of the authorized signatory","type":"signature","label":"Signature& Stamp","options":[],"required":true,"pdf_field":""}],"filled_by":"Authorized Signatory of the Insured"}],"deadlines":[],"applies_to":"Kidnap and Ransom Protection Policy claims","attachments":["copies of your retainer","any written demands","court documents","other relevant documentation as applicable"],"declarations":["The statements made in this form are true to the best of the signer's knowledge and belief.","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/288-claim-form-kidnap-and-ransom-protection-policy-notification-of-claim-or-circumst"}