{"id":757,"title":"CONSEQUENTIAL LOSS OF PROFIT POLICY (FLOP) (RETAIL) Claim Form","purpose":"claim","insurer":{"slug":"magma-general-insurance","name":"Magma General Insurance Limited"},"source_pdf":"https://www.magmainsurance.com/documents/5553002/5571057/Claim+Form+%E2%80%93+Consequential+Fire+Loss+of+Profits+%28FLOP%29+Retail.pdf/e374f8d9-ed36-f52f-822c-2a4b0f4d5974?t=1789043055685","sha256":"b849b74f624a4b4519ed8d9d237eaee9f70e743d8b0b4a7eb7c2a81fd1c1a4ad","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to claim for consequential loss of profit due to fire under the FLOP retail policy.","notes":["All questions must be answered fully; incomplete forms will be returned","Do not dispose of or destroy damaged property without consent of surveyor","The issue or acceptance of this form is not an admission of liability by Magma General Insurance","Make no offer or admission of liability to third parties","Any communications regarding the accident should be sent to the company immediately"],"title":"CONSEQUENTIAL LOSS OF PROFIT POLICY (FLOP) (RETAIL) Claim Form","submit":{"to":"Company/Surveyor","how":"immediately return the form","address":""},"purpose":"claim","sections":[{"title":"A. The Insured","fields":[{"help":"","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Full postal address","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Tel No. Office","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Mobile","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"Email","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Contact name","options":[],"required":false,"pdf_field":""},{"help":"Contact person's mobile","type":"phone","label":"Mobile","options":[],"required":false,"pdf_field":""},{"help":"Contact person's email","type":"email","label":"Email","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"B. Policy Details of Consequential Loss (Fire) Insurance Policy","fields":[{"help":"Policy number for the FLOP policy","type":"text","label":"Policy No.","options":[],"required":true,"pdf_field":""},{"help":"Start date of policy period","type":"date","label":"Period of Insurance : From","options":[],"required":true,"pdf_field":""},{"help":"End date of policy period","type":"date","label":"To","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"C. Policy details of Fire & Special Perils Policy","fields":[{"help":"Policy number under which material damage loss has been preferred","type":"text","label":"Policy No.","options":[],"required":true,"pdf_field":""},{"help":"Start date of fire & special perils policy","type":"date","label":"Period of Insurance : From","options":[],"required":true,"pdf_field":""},{"help":"End date of fire & special perils policy","type":"date","label":"To","options":[],"required":true,"pdf_field":""},{"help":"Name of the insurer for the fire & special perils policy","type":"text","label":"Name of the Insurer","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"D. Loss Details","fields":[{"help":"Date of loss","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Time of loss with am/pm","type":"text","label":"Time","options":[],"required":true,"pdf_field":""},{"help":"Date and time when loss was discovered","type":"text","label":"Date/Time Discovered","options":[],"required":true,"pdf_field":""},{"help":"Person who discovered the loss","type":"text","label":"By whom","options":[],"required":true,"pdf_field":""},{"help":"Address where loss occurred","type":"text","label":"Location/Address of Loss","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"","type":"number","label":"Pin Code","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Nature of business or use of premises","type":"text","label":"Premises occupied as","options":[],"required":true,"pdf_field":""},{"help":"Detailed description of loss circumstances","type":"text","label":"Describe fully circumstances of Loss, how it happened, what caused the Loss","options":[],"required":true,"pdf_field":""},{"help":"Start date of business interruption","type":"date","label":"Period for which your business has been interrupted from","options":[],"required":true,"pdf_field":""},{"help":"End date of business interruption","type":"date","label":"to","options":[],"required":true,"pdf_field":""},{"help":"Normal turnover amount","type":"amount","label":"What is the Standard Turnover","options":[],"required":true,"pdf_field":""},{"help":"Estimated turnover loss","type":"amount","label":"What is the estimated reduction in turnover","options":[],"required":true,"pdf_field":""},{"help":"Estimated gross profit loss","type":"amount","label":"What is the estimated Loss of Gross Profit","options":[],"required":true,"pdf_field":""},{"help":"Specify any add on covers claimed","type":"text","label":"Claim under Add on covers","options":[],"required":false,"pdf_field":""},{"help":"Total claim amount","type":"amount","label":"Total Claim under all Sections (Separate Claim Bill may be attached)","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"D. General","fields":[{"help":"Tick Yes or No","type":"yes-no","label":"Is there any other insurance in force providing cover for this loss or damage?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of other insurance if applicable","type":"text","label":"If yes, please provide name of Insurer(s), policy no. and copy of Policy","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Whether any change or alteration has been made in the business, premises or process after obtaining insurance?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of changes or alterations","type":"text","label":"If yes, please provide details of the same","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Have you ever suffered any loss or damage leading to interruption in Production in the past?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of past losses","type":"text","label":"If yes, please provide Date, Amount of Loss and Name of Insurer","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Did you take any measures to minimize the loss?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of measures taken","type":"text","label":"If yes, please provide details of the same","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Are there any steps taken to prevent a reoccurrence?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of preventive steps","type":"text","label":"If yes, please provide details (please attach separate sheet if required)","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Was there another person / Organisation, in your opinion, responsible for the loss or damage?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of responsible party","type":"text","label":"If yes, please provide name, address & phone no.","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Was there any witness(es) to the incident?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Witness details and statement","type":"text","label":"If yes, please provide name, address, phone no. and enclose statement from the witness","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Were the premises occupied at the time of the loss or damage?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Date since premises were unoccupied","type":"date","label":"If not, unoccupied since","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Are you the sole owner of the premises/property?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of other owners or interested parties","type":"text","label":"If not, please provide details of other interested parties","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration and Signature","fields":[{"help":"Sign here","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":["Form is to be returned back to the Company/Surveyor immediately"],"applies_to":"Consequential Loss of Profit Policy (FLOP) (Retail)","attachments":["Separate sheet if insufficient space","Copy of Policy if other insurance exists","Statement from witness if any","Separate Claim Bill if applicable"],"declarations":["The insured declares all information is true and no material information is withheld","The articles/property described belong to the insured and no other person has interest except as mentioned in the policy","Claim may be refused if information is untrue, inaccurate or concealed"],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"address","value":"Magma General Insurance Limited (Claims Hub), Srinilaya Cyber Spazio Suite 101, 102, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Telangana – 500034","label":"Claims Hub Address","level":null,"hours":null,"applies_to":"health","source_url":"https://www.magmainsurance.com/learn-about-claims","quote":"fe takes an unexpected turn. When that moment comes, a clear and dependable claims process makes all the difference. At Magma General Insurance, our aim is to make the process simple to understand, transparent to follow, and supportive at every step. This page explains how claims work across Health, Motor and Non‑Motor policies.\nClaim is easy at Magma General Insurance.\nRegister Claim\nHealth","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"customercare@magmainsurance.com","label":"Customer Care Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.magmainsurance.com/web/magmainsurance/claims","quote":"ma HDI General Insurance Company Limited) | All Rights Reserved\n| IRDAI Reg. No. 149 |\nwww.magmainsurance.com\n| E-mail:\ncustomercare@magmainsurance.com\n| Registered & Corporate Office: Equinox Business Park, Tower 3, Ambedkar Nagar, 2\nnd\nFloor, Unit Number 1B & 2B, LBS M","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 266 3202","label":"Claims Intimation Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.magmainsurance.com/web/magmainsurance/claims","quote":"surance Claims - Motor & Health Insurance Claim Process - Magma Insurance - Magma\nSkip to Content\nOne-Line-Hearder-Test\n1800 266 3202\nNavigation\nCustomer Service\nSenior Citizen Services\nRoad side Assistance\nAnnual Health Check-up\nPolicy Servicing assist","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/magma-general-insurance/757-consequential-loss-of-profit-policy-flop-retail-claim-form"}