{"id":303,"title":"Claim Form – Credit Insurance Policy for Financial Institutions","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/policy-wordings/other-insurance/claim-form-credit-insurance-policy-for-financial-institutions.pdf","sha256":"ae9979896b361babddeedf33ce0e08f9dec4c0ca24b4a09f7b8bc66d8c642fb0","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for notifying an overdue account under the Credit Insurance Policy for Financial Institutions. It is filled by the insured policyholder to claim intervention for overdue payments from buyers.","notes":["Intervention fee is payable.","Use original invoices and documents as attachments."],"title":"Claim Form – Credit Insurance Policy for Financial Institutions","submit":{"to":"IFFCO TOKIO GENERAL INSURANCE COMPANY LIMITED","how":"mail","address":"4TH & 5TH Floor, IFFCO Tower, Plot no. 3, Sector – 29 Gurgaon – 122 001"},"purpose":"claim","sections":[{"title":"Notification Details","fields":[{"help":"","type":"date","label":"Date of Notification","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy No","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Buyer No","options":[],"required":null,"pdf_field":""},{"help":"Full name and address of the buyer with overdue account","type":"text","label":"Buyer’s full name and address :-","options":[],"required":null,"pdf_field":""},{"help":"GST Identification Number of the buyer","type":"text","label":"GSTIN","options":[],"required":null,"pdf_field":""},{"help":"Contact person and telephone number at buyer's side","type":"text","label":"Name of contact person & Tel :-","options":[],"required":null,"pdf_field":""},{"help":"Full name and address of the insured policyholder","type":"text","label":"Insured full name and address :-","options":[],"required":null,"pdf_field":""},{"help":"Address where invoices were issued if different from above","type":"text","label":"Address of Invoices (if different from above) :-","options":[],"required":false,"pdf_field":""},{"help":"Name of entity issuing invoices if different from insured","type":"text","label":"Invoice Issued by (if different from above) :-","options":[],"required":false,"pdf_field":""}],"filled_by":"insured policyholder"},{"title":"Details on Overdues","fields":[{"help":"Total outstanding amount excluding tax or VAT","type":"amount","label":"Net Outstanding Amount (Excluding tax/VAT if any) (As per the Statement Of Account)","options":[],"required":null,"pdf_field":""},{"help":"Select the reason for non-payment; specify if 'Others'","type":"choice","label":"Reasons for Non Payment","options":["Cash Flow problem","Insolvency","Bank transfer delay","Trade Dispute","Others (specify)"],"required":null,"pdf_field":""},{"help":"Additional relevant details about the overdue account","type":"text","label":"Other details","options":[],"required":false,"pdf_field":""},{"help":"Describe actions taken to recover the overdue amount","type":"text","label":"Measures taken so far to effect recovery","options":[],"required":false,"pdf_field":""},{"help":"List any securities held as collateral against the debtor","type":"text","label":"Securities held against the debtor","options":[],"required":false,"pdf_field":""},{"help":"Number of days for usual payment terms","type":"number","label":"What is the usual terms of payment given to the buyer? Days","options":[],"required":null,"pdf_field":""},{"help":"Indicate if extension of payment terms was previously requested","type":"yes-no","label":"Have you applied for an extension of terms with this buyer previously? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"insured policyholder"},{"title":"Signature and Submission","fields":[{"help":"Signature of authorized person","type":"signature","label":"Authorized signatory","options":[],"required":true,"pdf_field":""},{"help":"Name of the person signing","type":"text","label":"Name of signatory","options":[],"required":true,"pdf_field":""},{"help":"Designation of the signatory","type":"text","label":"Designation","options":[],"required":true,"pdf_field":""}],"filled_by":"insured policyholder"}],"deadlines":[],"applies_to":"Credit Insurance Policy for Financial Institutions - Notification of Overdue Account","attachments":["Invoices","Statement of account","Sales contract/purchase order","Bill of Lading / Delivery Receipt"],"declarations":["Insured must declare the full debt exposure on the buyer even for invoices that are not yet due.","Insured must submit the specified documents together with the notification of overdue account form."],"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/303-claim-form-credit-insurance-policy-for-financial-institutions"}