{"id":291,"title":"Claims Notice","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/Claims-Form-PV-Sales.pdf","sha256":"cada674462ce8344fa058445e0e791085dcc3f5b198d63afbe7a7c8e49be82f7","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is for notifying a claim related to defective photovoltaic modules under the photovoltaic sales policy. It is filled by the insured company or policyholder.","notes":[],"title":"Claims Notice","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insurance Contract","fields":[{"help":"","type":"text","label":"Policy Number:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Insured:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address of Insured:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Contact Person:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Defective Photovoltaic Modules and Corresponding Sales Invoice","fields":[{"help":"","type":"date","label":"Invoice date:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Invoice Number:","options":[],"required":null,"pdf_field":""},{"help":"Specify the manufacturing period of the defective modules","type":"text","label":"Period of Manufacturing facility which defective Photovoltaic modules are produced in:","options":[],"required":null,"pdf_field":""},{"help":"Provide exact location of the defective modules","type":"text","label":"Detailed location of Defective Photovoltaic Modules:","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Number of defective Photovoltaic Modules:","options":[],"required":null,"pdf_field":""},{"help":"List all module types involved","type":"text","label":"Module Type(s) of defective Photovoltaic Modules:","options":[],"required":null,"pdf_field":""},{"help":"Provide bin codes of defective modules","type":"text","label":"Module Bin(s) of defective Photovoltaic Modules:","options":[],"required":null,"pdf_field":""},{"help":"Explain any modifications if applicable","type":"text","label":"Have the defective Photovoltaic Module not undergone any modifications? If yes, please provide further details:","options":[],"required":null,"pdf_field":""},{"help":"Provide serial numbers, power output, and bill of materials report for each defective module","type":"table","label":"Serial numbers, Power output, Bill of materials report for critical components for each defective Photovoltaic Module","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Customer Claim","fields":[{"help":"","type":"date","label":"Date of first customer claim notification:","options":[],"required":null,"pdf_field":""},{"help":"Name of the commercial operator who reported the claim","type":"text","label":"Commercial operator name:","options":[],"required":null,"pdf_field":""},{"help":"Describe the method or circumstances of defect discovery","type":"text","label":"How was defect discovered?","options":[],"required":null,"pdf_field":""},{"help":"Explain possible reasons for power loss","type":"text","label":"(Possible) Cause for loss in power output:","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Did customer comply with warranty terms?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain why the defect is covered under warranty and indemnity insurance","type":"text","label":"Please state why you think defect falls under Warranty and Indemnity Insurance:","options":[],"required":null,"pdf_field":""},{"help":"List any prior similar incidents","type":"text","label":"Please list previous incidents of similar nature:","options":[],"required":null,"pdf_field":""},{"help":"Name of the lab conducting tests","type":"text","label":"Name of third party laboratory:","options":[],"required":null,"pdf_field":""},{"help":"Contact person at the third party laboratory","type":"text","label":"Contact person of third party laboratory:","options":[],"required":null,"pdf_field":""},{"help":"Any additional relevant information","type":"text","label":"Other information:","options":[],"required":false,"pdf_field":""},{"help":"Current status of the claim","type":"text","label":"Status of Customer Claim:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Reimbursement to Customer","fields":[{"help":"","type":"amount","label":"Estimated cost for repairing defective Photovoltaic Modules:","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Estimated cost for replacing defective Photovoltaic Modules:","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Estimated cost for supplying new or additional Photovoltaic Modules to compensate for decreased output:","options":[],"required":null,"pdf_field":""},{"help":"Refer to Section 8.2 of the policy for valuation","type":"amount","label":"Estimated cost for Actual Cash Value of defective Photovoltaic Modules involved in accordance with Section 8.2 of the Policy:","options":[],"required":null,"pdf_field":""},{"help":"Specify the reimbursement method selected","type":"text","label":"Which method of reimbursement did you choose?","options":[],"required":null,"pdf_field":""},{"help":"","type":"date","label":"(Estimated) Date for reimbursement:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration by the Insured","fields":[{"help":"Date of signing the declaration","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Authorized signatory's signature","type":"signature","label":"Signature of Company","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"claims related to defective photovoltaic modules under the photovoltaic sales policy","attachments":["Excel list with all information as required in the Claims Notice Form for all defective Photovoltaic Modules including serial number, product type name, nominal power, day of production, bill of materials, IV curve parameters taken at end of manufacturing (Voc, Isc, Vmpp, Impp, Pmpp), test conditions (module temperature).","Type certification according to IEC-61215 for the defective product types with underlying test reports showing the bill of materials.","Report from extended reliability tests for the product types and bill of materials.","Excel list with findings during warranty handling for all defective Photovoltaic Modules including serial number, product type name, nominal power, sales date, sales/purchase price (currency), claims date, warranted power when claimed, day of claims handling, type of failure (no failure found, cosmetic, underperformance, others), measured power, findings from visual inspection, claimed expenses.","In case the module shows potential induced degradation (PID), proof of PID resistance for the product type and BoM according to IEC-62804.","In case of UV related degradation, proof of UV stability for the product type and BoM that corresponds to at least 300 kWh/m2 of UV irradiation.","Third party laboratory test report","Confirmation for customer claim notification","Copy of actual warranty document"],"declarations":["The signatory confirms they have authority to represent the company and that the information given is true, accurate, and complete to the best of their knowledge.","The signatory undertakes to inform the insurer immediately if any information given turns out to be incorrect, inaccurate, or incomplete.","All attachments to this claim notification form must be dated and signed."],"dropped_labels":1},"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/291-claims-notice"}