‘IFFCO Tokio Claim Form’ PDF Quick download link is given at the bottom of this article. You can see the PDF demo, size of the PDF, page numbers, and direct download Free PDF of ‘IFFCO Tokio Claim Form’ using the download button.
IFFCO Tokio Claim Form PDF Free Download
IFFCO Tokio Claim Form
- INSURED
(a) Name: ______________________________________
(b) Address for correspondence: ______________________________________
(c) Occupation: ______________________________________
(d) Telephone / Mobile No. : _______________ (e) Email: __
- DRIVER AT THE TIME OF THE ACCIDENT
(a) Name : ____________________ (b) Age : _________
(c) Address: ____________________
(d) Is the Driver: 1. Owner: ___________ - Paid driver: ___________
- Owner’s relative or friend: ___________
- Relationship with the owner: ___________
(e) If the paid driver, how long has been in your employment? : ____________
(f) Was he under the influence of intoxicating liquor or drugs? : ____________
(g) Driving Licence Number: ____________
(h) Issuing authority: ____________
(i) Date of Expiry: ____________
(j) Type of vehicles authorized to drive: ____________
(k) Was the license temporary/permanent?: ____________
(l) Has he been involved in any accident before : ____________
IFFCO Tokio Claim Form (Necessary Details)
Policy No.
SI. No./Certificate No.
Company/TPA ID No.
Name Address City State Pin Code Phone No.
Email ID
| Language | English |
| No. of Pages | 2 |
| PDF Size | 0.05 MB |
| Category | General |
| Source/Credits | – |
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IFFCO Tokio Claim Form PDF Free Download