{"id":321,"title":"Claim Form (Section 9) – Comprehensive Home Protector 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/iffco-pdf/sites/default/files/pdf/Comprehensive_Home_Protector_Policy-Loan-Payment-Claim-Form.pdf","sha256":"9020af1c5edae4fa3e3eaa54edd5b58cf5bb6757923465e16fd5046f557e8179","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to claim loan payment protection under the Comprehensive Home Protector Policy.","notes":["This Claim Form is issued without prejudice to the terms and conditions of the policy and issuance of this form should not be construed as admission of Liability.","Fill in all blanks and give complete details; attach separate sheet if space is insufficient.","Attach duly filled and signed Personal Accident Insurance Claim Form along with this Claim Form."],"title":"Claim Form (Section 9) – Comprehensive Home Protector Policy","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured details","fields":[{"help":"","type":"text","label":"Policy No:","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Name of Insured:","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Address:","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Sum Insured:","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Particulars of Injury/ sickness/ disease","fields":[{"help":"","type":"text","label":"Details of injury/ sickness/ disease:","options":[],"required":true,"pdf_field":""},{"help":"Attach a copy of report provided by Medical practitioner","type":"text","label":"Name and address of Medical practitioner:","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Details of EMI","fields":[{"help":"Fill details in the table below","type":"text","label":"Bank/ Financer name","options":[],"required":true,"pdf_field":""},{"help":"Fill details in the table below","type":"text","label":"Type of Loan","options":[],"required":true,"pdf_field":""},{"help":"Fill details in the table below","type":"date","label":"EMI start date","options":[],"required":true,"pdf_field":""},{"help":"Fill details in the table below","type":"number","label":"No. of instalments","options":[],"required":true,"pdf_field":""},{"help":"Fill details in the table below","type":"text","label":"Frequency of EMI","options":[],"required":true,"pdf_field":""},{"help":"Fill details in the table below","type":"amount","label":"EMI value (in Rs.)","options":[],"required":true,"pdf_field":""},{"help":"Fill details in the table below","type":"text","label":"Other Details (if any)","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Total estimate of outstanding EMIs","fields":[{"help":"","type":"amount","label":"Total estimate of outstanding EMIs","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Details of Other Existing Insurances","fields":[{"help":"Fill details in the table below","type":"text","label":"Name and Address of Company","options":[],"required":false,"pdf_field":""},{"help":"Fill details in the table below","type":"text","label":"Policy No.","options":[],"required":false,"pdf_field":""},{"help":"Fill details in the table below","type":"amount","label":"Sum Insured","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Declaration and Signature","fields":[{"help":"","type":"text","label":"Name:","options":[],"required":true,"pdf_field":""},{"help":"","type":"signature","label":"Signature:","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":[],"applies_to":"loan payment protection claims under the Comprehensive Home Protector Policy","attachments":["duly filled and signed Personal Accident Insurance Claim Form","copy of report provided by Medical practitioner"],"declarations":["All statements made on this form are true to the best of my/our knowledge and belief."],"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/321-claim-form-section-9-comprehensive-home-protector-policy"}