{"id":304,"title":"Claim Form – Credit Insurance Policy","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-new.pdf","sha256":"c01a28f3409a6558723816ad0e01a74f057e8b830d837d45ff29761406227ba5","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for notifying an overdue account under the credit insurance policy and is filled by the insured.","notes":["Submit the notification of overdue account form together with the listed documents.","Intervention fee is payable."],"title":"Claim Form – Credit Insurance Policy","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","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 name and telephone number","type":"text","label":"Name of contact person & Tel :-","options":[],"required":null,"pdf_field":""},{"help":"Full name and address of the insured","type":"text","label":"Insured full name and address :-","options":[],"required":null,"pdf_field":""},{"help":"Address where invoices were issued if different","type":"text","label":"Address of Invoices (if different from above) :-","options":[],"required":false,"pdf_field":""},{"help":"Name of entity issuing invoices if different","type":"text","label":"Invoice Issued by (if different from above) :-","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"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":""}],"filled_by":"insured"},{"title":"Reasons for Non Payment","fields":[{"help":"","type":"checkbox","label":"Cash Flow problem","options":["Cash Flow problem"],"required":false,"pdf_field":""},{"help":"","type":"checkbox","label":"Insolvency","options":["Insolvency"],"required":false,"pdf_field":""},{"help":"","type":"checkbox","label":"Bank transfer delay","options":["Bank transfer delay"],"required":false,"pdf_field":""},{"help":"","type":"checkbox","label":"Trade Dispute","options":["Trade Dispute"],"required":false,"pdf_field":""},{"help":"Specify other reasons for non payment","type":"text","label":"Others (specify)","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Other Details","fields":[{"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 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":false,"pdf_field":""},{"help":"Select if extension of terms was applied previously","type":"choice","label":"Have you applied for an extension of terms with this buyer previously? Yes No","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Signature and Stamp","fields":[{"help":"Signature of authorized person","type":"signature","label":"Authorized signatory :","options":[],"required":null,"pdf_field":""},{"help":"Name of the authorized signatory","type":"text","label":"Name of signatory:","options":[],"required":null,"pdf_field":""},{"help":"Designation of the signatory","type":"text","label":"Designation:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"overdue accounts under credit insurance policy","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 not yet due."],"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/304-claim-form-credit-insurance-policy"}