{"id":761,"title":"Industrial All Risk Policy (Commercial) CLAIM FORM (Material Damage)","purpose":"claim","insurer":{"slug":"magma-general-insurance","name":"Magma General Insurance Limited"},"source_pdf":"https://www.magmainsurance.com/documents/5553002/5571117/Claim+Form+%E2%80%93+Industrial+All+Risk+%28IAR%29+Policy.pdf/8caab1ba-9519-6e14-362f-fc3d99619f3d?t=1789043148269","sha256":"a7debfd9a70c8f7562a33c4abd8e9a5a1ec08e1ea158a59fa3e225bf9788e66e","pages":20,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to claim for material damage under the Industrial All Risk Policy (Commercial). It collects details about the insured, policy, loss, and circumstances of the damage.","notes":["All questions must be answered fully; use separate sheet if space is insufficient.","Do not dispose of or destroy damaged property without consent of surveyor/Magma General Insurance.","The issue or acceptance of this form is not an admission of liability by Magma General Insurance.","The insured should make no offer or admission of liability to third parties.","Any communications regarding the accident should be sent to the company immediately.","Use block letters and attach all required documents."],"title":"Industrial All Risk Policy (Commercial) CLAIM FORM (Material Damage)","submit":{"to":"","how":"","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":""}],"filled_by":"insured"},{"title":"B. Policy Details","fields":[{"help":"Policy number as per your insurance documents","type":"text","label":"Policy No.","options":[],"required":true,"pdf_field":""},{"help":"Start and end date of policy coverage","type":"date","label":"Period of Insurance","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"C. Loss Details","fields":[{"help":"Date when loss occurred","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Time of loss with am/pm","type":"text","label":"Time","options":["am","pm"],"required":true,"pdf_field":""},{"help":"When the 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":"Full 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":"Postal code","type":"number","label":"Pin Code","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Describe the use of premises","type":"text","label":"Premises occupied as","options":[],"required":false,"pdf_field":""},{"help":"Explain the incident in detail","type":"text","label":"Describe fully circumstances of Loss, how it happened, what caused the Loss","options":[],"required":true,"pdf_field":""},{"help":"List items damaged with columns: Item damaged, Amount insured, Market value at the time of loss, Market value after the loss, Salvage value, Amount claimed","type":"table","label":"What is Lost & Extent of Loss (Attach separate sheet if more than 1 items)","options":[],"required":true,"pdf_field":""},{"help":"Amount claimed under extra benefits if any","type":"amount","label":"Claim under Extra Benefits Rs.","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"D. General Questions","fields":[{"help":"Tick yes or no","type":"yes-no","label":"Has the loss or damage been reported to the Police/Fire Brigade?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Attach FIR or Fire Brigade report if applicable","type":"attachment","label":"If yes, please attach a legible copy of FIR/Fire Brigade Report","options":[],"required":false,"pdf_field":""},{"help":"Tick yes or no","type":"yes-no","label":"Has the loss/damage been caused due to flood, earthquake, storm or any other Act of God","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Attach relevant report if applicable","type":"attachment","label":"If yes, please attach a copy of report from the meteorological deptt/newspaper clipping","options":[],"required":false,"pdf_field":""},{"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":"Provide insurer details and attach policy copy","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":"Have you ever suffered a loss or damage in the past?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide past loss details","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 for each system","type":"yes-no","label":"Are the premises protected by a Fire Protection/Detection system? Hydrant","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Sprinkler","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Smoke Detector","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Extinguisher(s)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Explain if fire protection system was activated","type":"text","label":"Was the same activated during the incident","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":"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":"yes-no","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","options":[],"required":false,"pdf_field":""},{"help":"Tick yes or no","type":"yes-no","label":"Was there another person, in your opinion, responsible for the loss or damage?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of responsible person","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":"Provide witness details and attach 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":"Is the property subject to a hire purchase or hypothecation agreement?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of financial institution","type":"text","label":"If yes, please provide name & address of relevant parties/financial institution","options":[],"required":false,"pdf_field":""},{"help":"Tick yes or no","type":"yes-no","label":"Has there been any alteration in the occupation or use of the premises since the Policy was taken up?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe changes in occupation","type":"text","label":"If yes, please provide details of changes/alterations in occupation","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 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":"Provide details of other owners or interested parties","type":"text","label":"If not, please provide details of other interested parties","options":[],"required":false,"pdf_field":""},{"help":"Tick yes or no","type":"yes-no","label":"Are you responsible for repairs?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide total property value","type":"amount","label":"At the time of loss, what was the total value of all property in the premises?","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","fields":[{"help":"Sign the form","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":[],"applies_to":"Material Damage claims under Industrial All Risk Policy (Commercial)","attachments":["legible copy of FIR/Fire Brigade Report if loss reported to Police/Fire Brigade","copy of report from meteorological department/newspaper clipping if loss caused by Act of God","copy of other insurance policy if other insurance exists","statement from witness if any witness to incident"],"declarations":["The insured declares that no material information has been withheld and all statements are true to the best of their knowledge.","The articles/property described belong to the insured and no other person has interest except as mentioned in the policy.","The claim may be refused if information is untrue, inaccurate or concealed."],"dropped_labels":2},"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/761-industrial-all-risk-policy-commercial-claim-form-material-damage"}