{"id":311,"title":"Contractor’s All Risk Insurance 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/contractors-all-risk.pdf","sha256":"d60ac19246c62eda0e13b9eef4fba6a22c0bfea1cc10c15d43e782a7c8c06d89","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured to claim for loss or damage under the Contractor’s All Risk insurance policy.","notes":["This Claim Form is issued without prejudice to the terms and conditions of the policy and issuance should not be construed as admission of liability.","Fill in all blanks and provide complete details; attach separate sheet if space is insufficient."],"title":"Contractor’s All Risk Insurance Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Claim Details","fields":[{"help":"","type":"text","label":"Claim No:","options":[],"required":null,"pdf_field":""},{"help":"","type":"date","label":"Date of Issue:","options":[],"required":null,"pdf_field":""},{"help":"Enter your insurance policy number","type":"text","label":"Policy No.","options":[],"required":true,"pdf_field":""},{"help":"Name of the insured party","type":"text","label":"Insured:","options":[],"required":true,"pdf_field":""},{"help":"Address of the insured","type":"text","label":"Address:","options":[],"required":true,"pdf_field":""},{"help":"Location where the insured item was erected","type":"text","label":"Site of Erection:","options":[],"required":true,"pdf_field":""},{"help":"Describe the lost or damaged items and their value; if Declaration Policy, quote reference number","type":"text","label":"1. Description and value of items lost or damaged.","options":[],"required":true,"pdf_field":""},{"help":"Date the item arrived at the site","type":"date","label":"2. When did the item in question arrive at site?","options":[],"required":true,"pdf_field":""},{"help":"Provide date, time and location of the loss or damage","type":"text","label":"3. Date, time and place of loss or damage.","options":[],"required":true,"pdf_field":""},{"help":"Explain the cause of the loss or damage","type":"text","label":"4. Cause of loss or damage.","options":[],"required":true,"pdf_field":""},{"help":"Name of the witness to the accident","type":"text","label":"5. By whom was the accident witnessed?","options":[],"required":true,"pdf_field":""},{"help":"Describe the damage in detail","type":"text","label":"6. Nature of damage sustained with full description.","options":[],"required":true,"pdf_field":""},{"help":"Explain any guarantees and indemnity possibilities from supplier or manufacturer","type":"text","label":"7. Specify the nature of Guarantee from the Supplier or the manufacturer of the damaged equipment. Are there any chances of the Supplier or Manufacturer indemnify the loss? If not state precisely the reasons.","options":[],"required":true,"pdf_field":""},{"help":"Date testing started if damage occurred during testing","type":"date","label":"8. If damage occurred during testing, when did testing commence?","options":[],"required":false,"pdf_field":""},{"help":"Provide preliminary estimate of repair or replacement costs","type":"text","label":"9. State what repairs or replacements are required and estimated cost thereof.","options":[],"required":true,"pdf_field":""},{"help":"Estimated salvage or scrap value","type":"amount","label":"10. Salvage or scrap value of damaged parts.","options":[],"required":false,"pdf_field":""},{"help":"Answer yes or no for each sub-question","type":"yes-no","label":"11. Will it be necessary to: (a) Work overtime or on Sundays/Holidays in order to effect repairs? (b) Dispatch replacement parts by “Express Delivery”?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Location where damaged item can be inspected","type":"text","label":"12. State where damaged item can be Inspected should the company so desire.","options":[],"required":true,"pdf_field":""},{"help":"Provide third party details if applicable","type":"text","label":"13. Was the loss or damage caused by a Third Party? If so give name and address of Third Party concerned.","options":[],"required":false,"pdf_field":""},{"help":"Explain any recovery rights","type":"text","label":"14. Are there any rights of recovery from Contractors/Sub-Contractors Suppliers/ Manufactures?","options":[],"required":false,"pdf_field":""},{"help":"Details of other insurance policies covering this loss","type":"text","label":"15. Give details of any other Insurance under which you are entitled to recover in respect of this loss or damage.","options":[],"required":false,"pdf_field":""},{"help":"Any other relevant information","type":"text","label":"16. Please give any other particular relevant to the Loss / damage.","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","fields":[{"help":"Name of the person signing the form","type":"text","label":"Name:","options":[],"required":true,"pdf_field":""},{"help":"Designation of the person signing","type":"text","label":"Designation:","options":[],"required":true,"pdf_field":""},{"help":"Signature of the declarant","type":"signature","label":"Signature:","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place:","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":["Please submit this form, duly filled & signed, within 15 days, from the date of occurrence."],"applies_to":"Contractor’s All Risk insurance claims","attachments":[],"declarations":["The statements made in the claim form are true to the best of the claimant's knowledge and belief.","No material information relevant to the claim has been withheld."],"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/311-contractors-all-risk-insurance-claim-form"}