{"id":307,"title":"Claim Form- IFFCO-Tokio Bharat Sookshma Udyam Suraksha","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/claim-form-bharat-sookshma-udyam-suraksha.pdf","sha256":"7a3b883bec8a2eb600b2043f49c3156d83b9a28f625044c6d037a836cf974a7f","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for filing a claim under the Bharat Sookshma Udyam Suraksha insurance policy. It is filled by the insured person or claimant to report and claim for material damage losses.","notes":["Fill all details in CAPITAL Letters.","In case space provided is insufficient, annex a separate sheet.","This form is issued without prejudice to the terms and conditions of the policy and does not admit liability."],"title":"Claim Form- IFFCO-Tokio Bharat Sookshma Udyam Suraksha","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured's Details and Incident Information","fields":[{"help":"","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Provide the date and time when the loss occurred","type":"date","label":"Date and time of loss","options":[],"required":null,"pdf_field":""},{"help":"Full address where the insured risk is located","type":"text","label":"Complete risk location address.","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":"Postal code of the risk location","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Name of the person to contact regarding the claim","type":"text","label":"Contact Person’s name","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number of the contact person","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Designation of the contact person","type":"text","label":"Designation","options":[],"required":null,"pdf_field":""},{"help":"Email address of the contact person","type":"email","label":"Email Address","options":[],"required":null,"pdf_field":""},{"help":"Office landline number and availability hours","type":"phone","label":"Telephone no. (O) (Landline) Availability between - ___ hrs to ___hrs","options":[],"required":null,"pdf_field":""},{"help":"Residence landline number and availability hours","type":"phone","label":"Telephone no. (R) (Landline) Availability between - ___ hrs to ___hrs","options":[],"required":null,"pdf_field":""},{"help":"Describe the nature of the insured event and the claim amount","type":"text","label":"Nature of Insured Event and Claim Amount","options":[],"required":null,"pdf_field":""},{"help":"Explain how the loss occurred, spread, and efforts to minimize it","type":"text","label":"Details of Incident – Material Damage Claim Circumstances of loss (Brief details as to how loss look place and how it spread, how loss minimization efforts made & how finally if could be controlled)","options":[],"required":null,"pdf_field":""},{"help":"Indicate if the premises was occupied during the loss","type":"yes-no","label":"Was the premises occupied at the time of loss?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide your opinion on what caused the loss","type":"text","label":"Your Opinion about the cause of loss","options":[],"required":null,"pdf_field":""},{"help":"Fill the table with details of loss estimates for each block and category","type":"table","label":"Fire Insurance Claim - Estimate of Loss (Please provide details as per schedule) S No. Block Name Building Plant & Machinery Stocks Packing Material","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Details of Affected Items and Other Insurance","fields":[{"help":"Describe the affected item including make, model, and manufacturing year","type":"text","label":"Description of Item affected (Plant & Machinery) Make / Model/ Year of Mfg.","options":[],"required":null,"pdf_field":""},{"help":"Serial number of the item if available","type":"text","label":"Serial No of item if any","options":[],"required":null,"pdf_field":""},{"help":"Identification number of the item","type":"text","label":"Identification No of Item","options":[],"required":null,"pdf_field":""},{"help":"Indicate if the item was used according to manufacturer instructions","type":"yes-no","label":"Was the Item used as prescribed by the Manufacture?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Location where the item can currently be inspected","type":"text","label":"Where can it be examined now?","options":[],"required":null,"pdf_field":""},{"help":"Indicate if the item has been dismantled","type":"yes-no","label":"Has item been dismantled?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate if the item is covered under Annual Maintenance Contract","type":"yes-no","label":"Is Item covered under any A.M.C","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate if the item is under warranty","type":"yes-no","label":"Is Item under warranty?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe the extent of damage or loss to the item","type":"text","label":"Extent of damage / Loss","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated repair cost or quote if available","type":"amount","label":"Estimated amount for repair / Quote if any","options":[],"required":null,"pdf_field":""},{"help":"Enter claim amount if any under Accidental Damage add-on cover","type":"amount","label":"Kindly mention if there is any claim in any of the Add-on cover opted Accidental Damage (UIN: IRDAN106RP0002V03202021/A0006V02202122) ₹","options":[],"required":null,"pdf_field":""},{"help":"Enter claim amount if any under Snowfall Damage add-on cover","type":"amount","label":"Snowfall Damage (UIN: IRDAN106RP0002V03202021/A0004V02202122) ₹","options":[],"required":null,"pdf_field":""},{"help":"Enter claim amount if any under Additional Removal of Debris add-on cover","type":"amount","label":"Additional Removal of Debris (UIN: IRDAN106RP0002V03202021/A0005V02202122) ₹","options":[],"required":null,"pdf_field":""},{"help":"Provide details of other insurance policies covering the item","type":"table","label":"Details of other Existing Insurances Name & Address of Insurance Company Policy No Sum Insured Policy Expiry date","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"},{"title":"Declaration","fields":[{"help":"Date of signing the declaration","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Sign the form here","type":"signature","label":"Signature of the claimant","options":[],"required":true,"pdf_field":""},{"help":"Place where the form is signed","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Full name of the claimant","type":"text","label":"Name of the claimant","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant"}],"deadlines":["Please return this form, duly filled & signed, within 30 days, from the date of its issuance."],"applies_to":"claims under Bharat Sookshma Udyam Suraksha policy","attachments":[],"declarations":["The information furnished in this claim form is true and correct to the best of my knowledge and belief.","If any false or untrue statement, suppression or concealment of any material fact is made, the right to claim reimbursement shall be forfeited.","I have included all the documents for the purpose of this claim."],"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/307-claim-form-iffco-tokio-bharat-sookshma-udyam-suraksha"}