{"id":608,"title":"MACHINERY LOSS OF PROFIT POLICY - CLAIM FORM","purpose":"claim","insurer":{"slug":"indusind-general-insurance","name":"IndusInd General Insurance Company Limited"},"source_pdf":"https://www.indusindinsurance.com/downloads/machinery-loss-of-profit-policy-claim-form","sha256":"58d19b922b2429e98ac2b8c5e5a021f7c8ec5eef86b450f5b162516eb1d9978f","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured to claim for loss of profit due to machinery breakdown under the Machinery Loss of Profit Policy.","notes":["Issue of this claim form shall not be construed as an admission of liability.","Notify the company without delay as soon as loss or damage is known.","If any detail or information is not readily available, do not delay dispatch of this form; such particulars may be sent later.","Fill the form in block letters.","Attach self-attested copies of PAN card/Form 60 and Aadhaar card as mandatory as per IRDAI guidelines.","If opting for NEFT payment, enclose a cancelled cheque leaf along with the claim form."],"title":"MACHINERY LOSS OF PROFIT POLICY - CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Section 1 - Insured Details","fields":[{"help":"Select appropriate title and write full name in block letters","type":"choice","label":"Name of the Insured","options":["Mr.","Mrs.","Ms."],"required":true,"pdf_field":""},{"help":"Provide full address including Plot No./Flat No., Building Name, Road, Area, City, State, Pin Code","type":"text","label":"Address of the Insured","options":[],"required":true,"pdf_field":""},{"help":"Provide landline phone number if available","type":"phone","label":"Phone Number","options":[],"required":false,"pdf_field":""},{"help":"Provide mobile phone number","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"Provide valid email address","type":"email","label":"Email ID","options":[],"required":false,"pdf_field":""},{"help":"Provide Aadhaar number","type":"text","label":"UID Aadhar No.","options":[],"required":false,"pdf_field":""},{"help":"Provide PAN number and attach self-attested copy of PAN card or Form 60","type":"text","label":"PAN No.","options":[],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"choice","label":"Do you have a GST Registration Number","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide GST Registration Number if applicable","type":"text","label":"If Yes, please specify","options":[],"required":false,"pdf_field":""},{"help":"Select applicable profession or occupation","type":"choice","label":"Profession/Occupation","options":["Business","Profession","Salary","Agricultural Income","Savings","Others"],"required":true,"pdf_field":""},{"help":"Select applicable monthly income range","type":"choice","label":"Monthly Income","options":["Upto ` 20,000","` 20,001 to ` 50,000","` 50,001 to ` 1,00,000","` 1,00,001 and above"],"required":true,"pdf_field":""},{"help":"Provide start and end date of insurance period","type":"date","label":"Period of Insurance","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"Section 2 - Details of Machinery Breakdown Claim","fields":[{"help":"Provide date and time of the incident","type":"date","label":"Date & time of occurrence","options":[],"required":true,"pdf_field":""},{"help":"Provide location where loss occurred","type":"text","label":"Location of Loss","options":[],"required":true,"pdf_field":""},{"help":"Describe the incident causing the loss","type":"text","label":"Description of incident","options":[],"required":true,"pdf_field":""},{"help":"Provide full details and serial number of the machinery","type":"text","label":"Full details / Serial No. of the machinery which broke down as mentioned in Policy Annexure","options":[],"required":true,"pdf_field":""},{"help":"Explain cause of breakdown","type":"text","label":"Cause of Machinery Breakdown","options":[],"required":true,"pdf_field":""},{"help":"Describe nature and extent of loss","type":"text","label":"Nature and Extent of the Machinery Loss","options":[],"required":true,"pdf_field":""},{"help":"Provide estimated loss amount in rupees","type":"amount","label":"Estimate of Loss due to Machinery Breakdown:- `","options":[],"required":true,"pdf_field":""},{"help":"Provide name of insurer if different from this policy","type":"text","label":"Name of Insurer for Machinery Breakdown policy if with the different Insurer","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Section 3 - Machinery Loss of Profit Claim Details","fields":[{"help":"Select Yes or No","type":"choice","label":"Whether any alterations have been made in the nature of business/occupation of the premise post inception of the policy","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of alterations if applicable","type":"text","label":"If yes, provide the details","options":[],"required":false,"pdf_field":""},{"help":"Specify duration of business interruption","type":"text","label":"Period for which the insured business was interrupted due to reported breakdown","options":[],"required":true,"pdf_field":""},{"help":"Provide annual turnover amount","type":"amount","label":"Annual Turnover in the Preceding Financial Year","options":[],"required":true,"pdf_field":""},{"help":"Provide estimated reduction in turnover or output","type":"amount","label":"Estimated reduction in Turnover/Output post Loss","options":[],"required":true,"pdf_field":""},{"help":"Provide estimated reduction in gross profit","type":"amount","label":"Estimated Reduction in Gross Profit post loss","options":[],"required":true,"pdf_field":""},{"help":"Provide standing charges amount","type":"amount","label":"Standing Charges: (`)","options":[],"required":true,"pdf_field":""},{"help":"Provide expenses incurred to minimize loss","type":"amount","label":"Expenses Incurred for Loss Minimization: (`)","options":[],"required":true,"pdf_field":""},{"help":"Provide detailed statement of claim","type":"text","label":"Statement of Claim","options":[],"required":true,"pdf_field":""},{"help":"Provide details of any previous losses","type":"amount","label":"Details of Previous Losses, (if any): (`)","options":[],"required":false,"pdf_field":""},{"help":"Provide any additional information if desired","type":"text","label":"Do you wish to provide any additional information with respect to the claim","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Section 4 - Bank Details","fields":[{"help":"Select Yes or No","type":"choice","label":"Would you like to opt for NEFT payment?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide bank name","type":"text","label":"Bank Name","options":[],"required":true,"pdf_field":""},{"help":"Provide branch name","type":"text","label":"Branch Name","options":[],"required":true,"pdf_field":""},{"help":"Provide account holder name as per bank records","type":"text","label":"A/C Holder Name as in Bank Record","options":[],"required":true,"pdf_field":""},{"help":"Provide city of bank branch","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"Provide state of bank branch","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Provide bank account number","type":"text","label":"Account No","options":[],"required":true,"pdf_field":""},{"help":"Provide 11 digit IFSC code printed on cheque leaf","type":"text","label":"IFSC Code","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Machinery Loss of Profit Policy claims","attachments":["Self attested copy of PAN card/Form 60 & Aadhaar Card","Cancelled cheque leaf (if opting for NEFT payment)"],"declarations":["The statements made in this claim form are true to the best of the insured's knowledge and belief.","The address mentioned shall be taken as address on record for GST purposes."],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"services@indusindinsurance.com","label":"Health Insurance Claims Email","level":1,"hours":null,"applies_to":"health","source_url":"https://www.indusindinsurance.com/health-insurance-claims","quote":"nce Claim\nTravel Insurance Claim\nCommercial Insurance Claim\nSupport\nSign In\nSelf Help\nVideo Chat\nContact Us\nEmail us at\nservices@indusindinsurance.com\ngrievances@indusindinsurance.com\ncareers@indusindinsurance.com\nCall us at\n+91 22 48903009 (Paid Number)\n+91 22 65934185","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"indusind@europ-assistance.in","label":"Travel Insurance Claims Email","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"91-22-67347844\nInternational Travel (while in India):\n1800 209 5522\nWhatsApp:\n7400422200 for Inland Travel Claim\nEmail:\nindusind@europ-assistance.in\nMobile Application:\nIndusInd Insurance App\nWebsite:\nOnline Claim Intimation\nOffline Visit:\nLocate your nearest branch\nh","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"+91 22 48903009","label":"Car Insurance Claim Intimation","level":null,"hours":null,"applies_to":"motor","source_url":"https://www.indusindinsurance.com/car-insurance-claim","quote":"Us\nEmail us at\nservices@indusindinsurance.com\ngrievances@indusindinsurance.com\ncareers@indusindinsurance.com\nCall us at\n+91 22 48903009 (Paid Number)\n+91 22 65934185 (Senior Citizen)\n+91 7400422200 (WhatsApp)\n+91 22 48903051 (Become our Partner)\nVisit us:","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 65934189","label":"Motor Claims Helpline","level":null,"hours":null,"applies_to":"motor","source_url":"https://www.indusindinsurance.com/car-insurance-claim","quote":"ation.\nNeed Guidance on Car Coverage?\nTalk to Our Professional Advisors\nCall Us\nCall Us!!\nHealth -\n022 65934188\nMotor -\n022 65934189\nTravel -\n022 65934184\nSteps to Take After a Car ​Accident\nThe following steps can expedite the road accident insurance","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 65934188","label":"Health Claims Helpline","level":null,"hours":null,"applies_to":"health","source_url":"https://www.indusindinsurance.com/health-insurance-claims","quote":"your nearest location.\nExpert health advice you can trust\nGet in touch with our team today!\nCall Us\nCall Us!!\nHealth -\n022 65934188\nMotor -\n022 65934189\nTravel -\n022 65934184\nCommon Reasons for Health Insurance Claim Rejection\nIncomplete Documentation","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 65934184","label":"Travel Claims Helpline","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/health-insurance-claims","quote":"e you can trust\nGet in touch with our team today!\nCall Us\nCall Us!!\nHealth -\n022 65934188\nMotor -\n022 65934189\nTravel -\n022 65934184\nCommon Reasons for Health Insurance Claim Rejection\nIncomplete Documentation\nYour claim gets rejected when you don't gi","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"+912248903009","label":"Inland Travel Helpline","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"rds your registered bank account.\nHow to Contact Us For Travel Insurance Claim?\nContact Details\nInland Travel Helpline:\n+912248903009\nInternational Travel (while abroad):\n91-22-67347843/ 91-22-67347844\nInternational Travel (while in India):\n1800 209 552","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"91-22-67347843","label":"International Travel Helpline (abroad)","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"For Travel Insurance Claim?\nContact Details\nInland Travel Helpline:\n+912248903009\nInternational Travel (while abroad):\n91-22-67347843/ 91-22-67347844\nInternational Travel (while in India):\n1800 209 5522\nWhatsApp:\n7400422200 for Inland Travel Claim\nEmail","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 209 5522","label":"International Travel Helpline (in India)","level":null,"hours":null,"applies_to":"travel","source_url":"https://www.indusindinsurance.com/travel-insurance-claim","quote":"912248903009\nInternational Travel (while abroad):\n91-22-67347843/ 91-22-67347844\nInternational Travel (while in India):\n1800 209 5522\nWhatsApp:\n7400422200 for Inland Travel Claim\nEmail:\nindusind@europ-assistance.in\nMobile Application:\nIndusInd Insurance","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/indusind-general-insurance/608-machinery-loss-of-profit-policy-claim-form"}