{"id":306,"title":"IFFCO-Tokio Bharat Griha Raksha - 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/bharat-griha-raksha-claim-form.pdf","sha256":"aac1c800e631e78079ece6cb3c87aeca0c732e03ed57e6234a4ad639490916cd","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for filing a claim under the Bharat Griha Raksha insurance policy. It is to be filled by the insured person or claimant who has suffered a loss.","notes":["Fill all details in CAPITAL letters","Use a separate sheet if space is insufficient","This form is issued without prejudice to the terms and conditions of the policy and is not admission of liability"],"title":"IFFCO-Tokio Bharat Griha Raksha - Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured’s Details","fields":[{"help":"","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Fill in CAPITAL letters","type":"text","label":"Insured Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"date","label":"Date and time of loss","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Complete address of loss location","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"6 digit postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Contact Person’s Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email Address","options":[],"required":null,"pdf_field":""},{"help":"Include country code if applicable","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Telephone no","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Details of Incident – Material Damage Claim","fields":[{"help":"Describe the incident and efforts to control loss","type":"text","label":"Circumstances of loss (Brief details as to how loss took place and how it spread, how loss minimization efforts made & how finally if could be controlled)","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the premises occupied at the time of loss?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Give your view on what caused the loss","type":"text","label":"Your Opinion about the cause of loss","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Estimate of Loss","fields":[{"help":"Fill columns: S No., Description, Estimated Loss (in Rs)","type":"table","label":"Estimate of Loss (Please give details as per schedule)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Inbuilt Covers Claims","fields":[{"help":"List any claims under inbuilt covers","type":"text","label":"Kindly mention if there is any claim in below Inbuilt covers","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Optional Covers Claims","fields":[{"help":"Enter estimated amount in Rs","type":"amount","label":"Professional Fees (Payment of Architect’s, Surveyor’s and Consulting Engineer’s fees)","options":[],"required":false,"pdf_field":""},{"help":"Enter estimated amount in Rs","type":"amount","label":"Debris Removal","options":[],"required":false,"pdf_field":""},{"help":"Enter estimated amount in Rs","type":"amount","label":"Theft within 7 days from the occurrence of any of the above events","options":[],"required":false,"pdf_field":""},{"help":"Fill details below for additional rent claim","type":"text","label":"Additional Rent/ Loss of Rent","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"New address where house on Rent is taken","options":[],"required":false,"pdf_field":""},{"help":"Enter amount in Rs","type":"amount","label":"Amount of rent per month of new address","options":[],"required":false,"pdf_field":""},{"help":"","type":"number","label":"No. of months for which additional rent is paid","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Rent per month of damaged house (in Rs.)","options":[],"required":false,"pdf_field":""},{"help":"Enter claim amount if any","type":"amount","label":"Valuable Contents like jewellery and Art","options":[],"required":false,"pdf_field":""},{"help":"Enter claim amount if any","type":"amount","label":"Personal Accident (Death Only)","options":[],"required":false,"pdf_field":""},{"help":"If claiming Personal Accident cover","type":"text","label":"Nominee Name","options":[],"required":false,"pdf_field":""},{"help":"Relation to insured nominee","type":"text","label":"Relationship with the Insured","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Other Existing Insurances","fields":[{"help":"","type":"text","label":"Name & Address of Insurance Company","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Policy No","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"","type":"date","label":"Policy Expiry date","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Declaration","fields":[{"help":"","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"","type":"signature","label":"Signature of the claimant","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Name of the claimant","options":[],"required":true,"pdf_field":""}],"filled_by":"claimant"}],"deadlines":["Please return this form, duly filled & signed, within 30 days from the date of occurrence"],"applies_to":"claims under Bharat Griha Raksha policy","attachments":["Separate sheet if space provided is insufficient","Documents supporting the claim as per policy terms"],"declarations":["All statements made on this form are true to the best of my/our knowledge and belief","The articles and property described belong to the persons named, no other person having any interest","If any false or fraudulent statement or concealment is made, the claim shall be forfeited and policy null and void"],"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/306-iffco-tokio-bharat-griha-raksha-claim-form"}