{"id":313,"title":"Contractor’s Plant and Machinery 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-plant-and-machinery.pdf","sha256":"454fbbe3e0e064231bed38d11f3ce5dc96011c7adec2575e6db896068808b282","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to claim for breakdown of contractor's plant and machinery insured under the policy.","notes":["This Claim Form is issued without prejudice to the terms and conditions of the policy and does not imply admission of liability.","Fill in all blanks completely; attach separate sheet if space is insufficient."],"title":"Contractor’s Plant and Machinery 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":null,"pdf_field":""},{"help":"Enter the exact date and time when the machine broke down","type":"date","label":"Date & Time of breakdown","options":[],"required":true,"pdf_field":""},{"help":"Provide full address where the machine was installed","type":"text","label":"Machine which broke down was installed at (Complete Address of Location)","options":[],"required":true,"pdf_field":""},{"help":"Describe how and when the breakdown occurred and was noticed","type":"text","label":"Circumstances of loss (Brief write up on circumstances under which machine broke down and how & when it was detected)","options":[],"required":true,"pdf_field":""},{"help":"Give your view on what caused the breakdown","type":"text","label":"Your opinion about the Cause of Breakdown","options":[],"required":true,"pdf_field":""},{"help":"Mention the schedule item as per your policy","type":"text","label":"Schedule Item of Policy","options":[],"required":null,"pdf_field":""},{"help":"Describe the machine that broke down","type":"text","label":"Description of Machine","options":[],"required":true,"pdf_field":""},{"help":"Provide specifications of the machine","type":"text","label":"Specification of Machine","options":[],"required":null,"pdf_field":""},{"help":"Describe the damage caused to the machine","type":"text","label":"Extent of Damage","options":[],"required":true,"pdf_field":""},{"help":"Enter estimated repair cost and attach quotation copy","type":"amount","label":"Cost of Repair (attach copy of Quotation)","options":[],"required":true,"pdf_field":""},{"help":"Provide details if other insurances exist for this machine","type":"text","label":"Details of Other Existing Insurances","options":[],"required":null,"pdf_field":""},{"help":"Name and address of other insurance company if any","type":"text","label":"Name & Address of Company","options":[],"required":null,"pdf_field":""},{"help":"Policy number of other insurance","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Sum insured under other insurance","type":"amount","label":"Sum Insured","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"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":null,"pdf_field":""},{"help":"Signature of the claimant","type":"signature","label":"Signature","options":[],"required":true,"pdf_field":""},{"help":"Date of signing the form","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place where the form is signed","type":"text","label":"Place","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":["Please submit this form, duly filled & signed, within 15 days, from the date of occurrence."],"applies_to":"","attachments":["copy of Quotation for Cost of Repair"],"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/313-contractors-plant-and-machinery-claim-form"}