{"id":759,"title":"Consequential Loss of Profit Policy (FLOP) (Commercial) Claim Form","purpose":"claim","insurer":{"slug":"magma-general-insurance","name":"Magma General Insurance Limited"},"source_pdf":"https://www.magmainsurance.com/documents/5553002/5571087/Claim+Form+%E2%80%93+Consequential+Loss+of+Profit+Policy+%28FLOP%29+Commercial.pdf/16d7966b-0ce9-a4ac-5321-ce28ba6540a1?t=1789043110115","sha256":"d8be2c101fe2218034b13c1c002b37d6c59d8c0b78a343f5d6c5fca8a8b40bdd","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to claim for loss of profit under the Consequential Loss of Profit (Fire) Insurance Policy (Commercial).","notes":["All questions must be answered fully; use separate sheet if needed.","Incomplete or blank sections will cause the form to 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 the insurer.","Make no offer or admission of liability to third parties.","Send any communications regarding the accident immediately to the company.","Use separate sheet for additional details if required."],"title":"Consequential Loss of Profit Policy (FLOP) (Commercial) Claim Form","submit":{"to":"Company/Surveyor","how":"immediately return the form to the Company/Surveyor","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":"","type":"phone","label":"Mobile","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"Email","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"B. Policy Details of Consequential Loss (Fire) Insurance Policy","fields":[{"help":"","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 under which material damage loss has been preferred","fields":[{"help":"","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":""},{"help":"","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 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":"Describe how premises are used","type":"text","label":"Premises occupied as","options":[],"required":true,"pdf_field":""},{"help":"Explain the loss event in detail","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 cover claims","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":"choice","label":"Is there any other insurance in force providing cover for this loss or damage?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details if other insurance exists","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":"choice","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":"Describe changes if any","type":"text","label":"If yes, please provide details of the same","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","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":"Provide past loss details if applicable","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":"choice","label":"Did you take any measures to minimize the loss?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe measures taken","type":"text","label":"If yes, please provide details of the same","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Are there any steps taken to prevent a reoccurrence?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe 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":"choice","label":"Was there another person / Organisation, in your opinion, responsible for the loss or damage?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide 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":"choice","label":"Was there any witness(es) to the incident?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide 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":"choice","label":"Were the premises occupied at the time of the loss or damage?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Date since premises unoccupied if applicable","type":"text","label":"If not, unoccupied since","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Are you the sole owner of the premises/property?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of other owners if any","type":"text","label":"If not, please provide details of other interested parties","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","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 immediately to the Company/Surveyor"],"applies_to":"Consequential Loss of Profit (Fire) Insurance Policy (Commercial)","attachments":["Separate sheet if insufficient space","Copy of other insurance policy if applicable","Separate claim bill if applicable","Statement from witness 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/759-consequential-loss-of-profit-policy-flop-commercial-claim-form"}