{"id":300,"title":"CLAIM FORM","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/RWBCIS-Claim-Form.pdf","sha256":"ea8ff889957e40abf0e00e4d062dbdd7ad06185272d4d4504ff942dd65eca50c","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for insured persons to claim under the IFFCO-TOKIO Restructured Weather Based Crop Insurance Scheme. The policyholder or claimant fills it.","notes":[],"title":"CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Claimant Details","fields":[{"help":"","type":"text","label":"Policy 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":"email","label":"E-mail id:","options":[],"required":null,"pdf_field":""},{"help":"Enter your Aadhaar number","type":"text","label":"Aadhaar No:","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Sum Insured","options":[],"required":null,"pdf_field":""},{"help":"Specify the insured area","type":"text","label":"Area Insured","options":[],"required":null,"pdf_field":""},{"help":"Name the crop being cultivated","type":"text","label":"Crop under cultivation","options":[],"required":null,"pdf_field":""},{"help":"Select one option","type":"choice","label":"Landholding – whether owned, leased or rented","options":["Own","Leased","Rented"],"required":null,"pdf_field":""},{"help":"Provide the landowner's name if land is leased or rented","type":"text","label":"If leased land or rented land, then name of owner","options":[],"required":null,"pdf_field":""},{"help":"Attach certified copies of land record documents","type":"checkbox","label":"Land record - Certified copies of documents attached","options":["Yes"],"required":null,"pdf_field":""},{"help":"Select Yes or No","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 if you answered Yes above","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":"Enter place of signing","type":"text","label":"Place:","options":[],"required":null,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of Claimant /Financial Institution","options":[],"required":true,"pdf_field":""},{"help":"Enter date of signing","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""},{"help":"Print claimant's name","type":"text","label":"Name of Claimant","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"}],"deadlines":[],"applies_to":"claims under the Restructured Weather Based Crop Insurance Scheme (RWBCIS)","attachments":["Certified copies of land record documents"],"declarations":["All information provided is true and correct.","Incorrect or false information will render the claim not payable.","I/We agree 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/300-claim-form"}