{"id":295,"title":"Claim Form Fasal Bima (micro) Yojna","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/fasal-Bima-Yojna-Micro-Claim-Form-FBY-Micro.pdf","sha256":"7782f85198f56c3d45a9dbf8d49a3f461f63c03c440ed9223ce7873e3c40f324","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured person to file a claim under the Fasal Bima (Micro) Yojna crop insurance scheme.","notes":[],"title":"Claim Form Fasal Bima (micro) Yojna","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Claim Details","fields":[{"help":"","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Certificate No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of Insured Person","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address of Insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Phone No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Sum Insured","options":[],"required":null,"pdf_field":""},{"help":"Specify the area in appropriate units","type":"text","label":"Area under cultivation","options":[],"required":null,"pdf_field":""},{"help":"Name of the crop insured","type":"text","label":"Crop under cultivation","options":[],"required":null,"pdf_field":""},{"help":"Select whether the land is owned or leased","type":"choice","label":"Landholding – whether owned or leased","options":["Own","Lease"],"required":null,"pdf_field":""},{"help":"Provide the name of the land owner if leased","type":"text","label":"If leased land, then name of owner","options":[],"required":null,"pdf_field":""},{"help":"Indicate if certified copies of land documents are attached","type":"yes-no","label":"Land record - Certified copies of documents attached","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate if you have insurance from another company for the same land","type":"yes-no","label":"Have you taken insurance of similar nature for the same land from some other Company?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details of other insurance if applicable","type":"text","label":"If Yes to above, then please provide details.","options":[],"required":false,"pdf_field":""},{"help":"Provide bank account number and bank name for claim payment","type":"text","label":"Bank account No. & Name of the Bank","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Declaration and Signature","fields":[{"help":"Sign here to declare the information is true and correct","type":"signature","label":"Signature of Claimant /Financial Institution","options":[],"required":true,"pdf_field":""},{"help":"Date of signing the form","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Print the claimant's name","type":"text","label":"Name of Claimant","options":[],"required":true,"pdf_field":""}],"filled_by":"claimant"}],"deadlines":[],"applies_to":"claims under Fasal Bima (Micro) Yojna","attachments":["Certified copies of land record documents"],"declarations":["All information provided is true and correct.","Incorrect or false information will make the claim not payable.","Claimant agrees to provide documentation on request to verify the information."],"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/295-claim-form-fasal-bima-micro-yojna"}