{"id":762,"title":"CLAIM FORM MARINE CARGO OPEN / ANNUAL TURNOVER POLICY (RETAIL)","purpose":"claim","insurer":{"slug":"magma-general-insurance","name":"Magma General Insurance Limited"},"source_pdf":"https://www.magmainsurance.com/documents/5553002/5571159/Claim+Form+-+Marine+Cargo+Open+Policy.pdf/97aeec7b-3817-7d83-4091-8f9c1fc314e2?t=1789043201869","sha256":"c882f55aab5824ea7b91363c1da1470ea207351a04c80f92993cefda4c7c02d2","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured or claimant to file a claim for loss or damage under a Marine Cargo Open or Annual Turnover Policy (Retail).","notes":["Issue of this Claim Form is not to be taken as an Admission of Liability","If any detail or information is not readily available please do not delay the dispatch of this form and other particulars may be sent later","The above documents list is not exhaustive; surveyor or insurer may call for other relevant documents based on the nature of loss"],"title":"CLAIM FORM MARINE CARGO OPEN / ANNUAL TURNOVER POLICY (RETAIL)","submit":{"to":"Magma General Insurance Limited","how":"","address":"Registered Office: Equinox Business Park, Tower 3, Ambedkar Nagar, 2nd Floor, Unit Number 1B & 2B, LBS Marg, Kurla (West), Mumbai - 400070, Maharashtra, India"},"purpose":"claim","sections":[{"title":"Details of Insured/Claimant","fields":[{"help":"","type":"text","label":"Claim Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"Enter name exactly as in policy","type":"text","label":"Name as per Policy:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State:","options":[],"required":null,"pdf_field":""},{"help":"Enter postal PIN code","type":"text","label":"Pin:","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Phone:","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile:","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email ID:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Details of Consignment","fields":[{"help":"","type":"text","label":"Certificate / Declaration No.","options":[],"required":null,"pdf_field":""},{"help":"Provide full name and address","type":"text","label":"1) Name and address of the Consignor","options":[],"required":null,"pdf_field":""},{"help":"Provide full name and address","type":"text","label":"2) Name and address of the Consignee","options":[],"required":null,"pdf_field":""},{"help":"Describe goods and quantity","type":"text","label":"3) Nature of the goods & number of items","options":[],"required":null,"pdf_field":""},{"help":"Enter invoice or cost value","type":"amount","label":"4) Cost/Invoice value of the Consignment","options":[],"required":null,"pdf_field":""},{"help":"Describe packing type","type":"text","label":"5) Nature of packing","options":[],"required":null,"pdf_field":""},{"help":"Enter place and date","type":"text","label":"6) Place of Origin & Date of despatch","options":[],"required":null,"pdf_field":""},{"help":"Enter place and date","type":"text","label":"7) Place of Destination & Date of arrival","options":[],"required":null,"pdf_field":""},{"help":"Provide receipt details","type":"text","label":"Carrier’s receipt Rail Road By sea Air Courier Multi model transport Bill of Loding Airway Bill Others details","options":[],"required":null,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Details of Loss / Damage","fields":[{"help":"Describe condition and date of delivery","type":"text","label":"1) Date of delivery taken and what is the external condition of the consignment. Are there any damages to the packing and any suspicious internal damages to the goods?","options":[],"required":null,"pdf_field":""},{"help":"Carrier's remarks if any","type":"text","label":"2) Remarks of the carrier on outward condition or packing at the time of despatch.","options":[],"required":null,"pdf_field":""},{"help":"State date and person who noticed loss","type":"text","label":"3) When was loss/damages noticed and by whom?","options":[],"required":null,"pdf_field":""},{"help":"Indicate if claim made against carrier","type":"yes-no","label":"4) Has claim been made against the Carrier? (Note: The claim has to be lodged within the stipulated time frame)","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe loss or damage","type":"text","label":"5) Nature and extent of loss/damages observed","options":[],"required":null,"pdf_field":""},{"help":"Explain cause of loss","type":"text","label":"6) State the proximate cause of loss","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated loss amount","type":"amount","label":"7) Estimated loss","options":[],"required":null,"pdf_field":""},{"help":"State if retaining salvage and offer","type":"text","label":"8) Are you interested in retaining the salvage/damaged items; if yes what is your offer.","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated repair cost","type":"amount","label":"9) If the damages can be repaired what could be the estimated repair charges.","options":[],"required":null,"pdf_field":""},{"help":"Provide details of duties paid and recovery chances","type":"text","label":"10) Duties paid on the consignment and chances of recovery/adjusted towards the damaged items.","options":[],"required":null,"pdf_field":""},{"help":"Provide other insurance details","type":"text","label":"11) Give the details of other insurance, if any covering the same loss.","options":[],"required":null,"pdf_field":""},{"help":"Provide any additional information","type":"text","label":"12) Any other relevant information.","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"},{"title":"Declaration and Signature","fields":[{"help":"Date of signing declaration","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing declaration","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Sign the form","type":"signature","label":"Signature of the Insured","options":[],"required":true,"pdf_field":""},{"help":"Affix company stamp if applicable","type":"text","label":"Company’s stamp (in case of company)","options":[],"required":false,"pdf_field":""}],"filled_by":"insured/claimant"}],"deadlines":["The claim has to be lodged within the stipulated time frame"],"applies_to":"Marine Cargo Open / Annual Turnover Policy (Retail)","attachments":["Policy copy and certificate of insurance/declaration","Total invoices of the consignment with packing list","Bill of Lading/Air way bill/Lorry receipt/Rail receipt/courier note - Original","Survey report, if appointed by insured","Claim Bill","Monetary claim lodged on the transporter/port/vessel/whoever responsible for loss","Damage certificate issued by transporter","Lob reports, if any","Details on duties paid with proof","Samples preserved","Pre-inspection report"],"declarations":["The information provided is true and correct to the best of my knowledge","If any information is false or incorrect, the policy shall be void and rights to recover claims forfeited","I agree to help the insurer recover loss amounts from liable parties","I agree to provide additional information if required"],"dropped_labels":3},"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/762-claim-form-marine-cargo-open-annual-turnover-policy-retail"}