{"id":764,"title":"Claim Form – Bharat Griha Raksha","purpose":"claim","insurer":{"slug":"magma-general-insurance","name":"Magma General Insurance Limited"},"source_pdf":"https://www.magmainsurance.com/documents/5553002/5571141/Claim+Form+%E2%80%93+Bharat+Griha+Raksha.pdf/cb3e56f9-6a96-6067-f2cf-ab504e495fbb?t=1789043176176","sha256":"b15b5b00cf07c65614661ec5d07fbd0cfba5aabf88ffdaf593333852112da7d6","pages":7,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to claim insurance for loss or damage under the Bharat Griha Raksha policy.","notes":["If insufficient space, use a separate sheet and attach it.","Incomplete or blank sections will cause the form to be returned.","Use original or certified copies of FIR for submission."],"title":"Claim Form – Bharat Griha Raksha","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"General Information","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 the start and end date of the insurance period","type":"date","label":"Period of Insurance To","options":[],"required":null,"pdf_field":""},{"help":"Full name of the insured person","type":"text","label":"Name of the Insured","options":[],"required":true,"pdf_field":""},{"help":"Full mailing address","type":"text","label":"Correspondence address of the Insured","options":[],"required":true,"pdf_field":""},{"help":"Contact phone number","type":"phone","label":"Phone No","options":[],"required":true,"pdf_field":""},{"help":"Email address","type":"email","label":"Email ID","options":[],"required":false,"pdf_field":""},{"help":"Name and phone number of person for survey contact","type":"text","label":"Name and contact number of contact person to be contacted for survey and discussion.","options":[],"required":null,"pdf_field":""},{"help":"Address or location of the insured property","type":"text","label":"Location of the Property","options":[],"required":true,"pdf_field":""},{"help":"Describe the damage to the property","type":"text","label":"Description of property damage","options":[],"required":true,"pdf_field":""},{"help":"Date of loss or damage","type":"date","label":"When did the loss or damage occur","options":[],"required":true,"pdf_field":""},{"help":"Explain how the loss happened","type":"text","label":"Narrate circumstances of loss","options":[],"required":true,"pdf_field":""},{"help":"Cause of the loss or damage","type":"text","label":"What was the cause of the loss","options":[],"required":true,"pdf_field":""},{"help":"Date when insurer was informed","type":"date","label":"Date of intimation to Insurer","options":[],"required":true,"pdf_field":""},{"help":"Additional relevant information","type":"text","label":"Any other details relevant to the damages.","options":[],"required":false,"pdf_field":""},{"help":"Details of other insurance policies covering this loss","type":"text","label":"Give details of other Insurance, if any, covering the current loss","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Loss and Damage Details","fields":[{"help":"Indicate if reported to Police or Fire Brigade","type":"yes-no","label":"Has the loss or damage been reported to the Police/Fire Brigade Yes/ No","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":null,"pdf_field":""},{"help":"Indicate if loss caused by Act of God perils","type":"yes-no","label":"Has the loss/damage been caused due to AOG perils like flood, earthquake, storm or any other Act of God Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Attach meteorological report or newspaper clipping if applicable","type":"attachment","label":"If yes, please attach a copy of report from the meteorological department /newspaper clipping","options":[],"required":null,"pdf_field":""},{"help":"Indicate if previous losses occurred","type":"yes-no","label":"Have you suffered a loss or damage in the past Yes/No","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":"Indicate if other insurance covers this loss","type":"yes-no","label":"Is there any other insurance covering the present loss Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of other insurance policies","type":"text","label":"If yes, please provide name of Insurer(s), policy no. and copy of Policy","options":[],"required":false,"pdf_field":""},{"help":"Indicate if fire protection system is present","type":"yes-no","label":"Are the premises protected by a Fire Protection/Detection system Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if fire protection system was activated","type":"yes-no","label":"Was the same activated during the incident","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate if loss minimization measures were taken","type":"yes-no","label":"Have you taken any measures to minimize the loss Yes/ No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Details of measures taken","type":"text","label":"If yes, please provide details","options":[],"required":false,"pdf_field":""},{"help":"Indicate if preventive steps were taken","type":"yes-no","label":"Are there any steps taken to prevent a reoccurrence","options":["Yes","No"],"required":null,"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":"Indicate if property is under hire purchase or hypothecation","type":"yes-no","label":"Is the property subject to hire purchase or hypothecation agreement Yes/ No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Details of hire purchase or hypothecation agreement","type":"text","label":"If yes, please provide the details.","options":[],"required":false,"pdf_field":""},{"help":"Indicate if occupation or use of premises changed","type":"yes-no","label":"Has there been any alteration in the occupation or use of the premises since the Policy was taken up Yes/ No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Details of changes in occupation","type":"text","label":"If yes, please provide details of changes/alterations in occupation","options":[],"required":false,"pdf_field":""},{"help":"State if premises were occupied or since when unoccupied","type":"text","label":"Were the premises occupied at the time of the loss or damage, If not, unoccupied since","options":[],"required":null,"pdf_field":""},{"help":"Indicate if you are sole owner","type":"yes-no","label":"Are you the sole owner of the premises or property","options":["Yes","No"],"required":null,"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":""},{"help":"Total value of property at loss time","type":"amount","label":"At the time of loss, what was the total value of all property in the premises","options":[],"required":null,"pdf_field":""},{"help":"Details of claims under add-on covers","type":"text","label":"Any claim under add on covers, please provide details","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Estimate of Loss","fields":[{"help":"Columns: Sl.No, Description of the property claimed, Sum Insured in Rs., Amount claimed in Rs.","type":"table","label":"Description of the property claimed","options":[],"required":true,"pdf_field":""},{"help":"Summary of the loss","type":"text","label":"Brief Description of the loss","options":[],"required":true,"pdf_field":""},{"help":"Columns: S.No, Item/s affected by loss, Cause of loss, Location of loss, Date and Time of Loss, Estimated value of items lost or Damaged","type":"table","label":"Details of Loss","options":[],"required":true,"pdf_field":""},{"help":"Indicate if reported to police","type":"yes-no","label":"Has the matter been reported to the Police","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Name of police station where reported","type":"text","label":"Name of the Police Station","options":[],"required":false,"pdf_field":""},{"help":"FIR number and date; attach copy","type":"text","label":"FIR No. and date (Please enclose original or certified copy of FIR)","options":[],"required":false,"pdf_field":""},{"help":"Detailed breakup of loss estimate","type":"text","label":"Estimate of loss (with complete breakup)","options":[],"required":true,"pdf_field":""},{"help":"Indicate if other insurance covers this loss","type":"yes-no","label":"Is there any other insurance covering the present loss","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Columns: Name of insurer, Policy Number, Period of insurance, Coverage, Sum insured","type":"table","label":"If yes, please provide name of Insurer(s), policy no. and copy of Policy","options":[],"required":false,"pdf_field":""},{"help":"Additional information","type":"text","label":"Any other information which you would like to provide","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Personal Accident Claimant/Deceased Details","fields":[{"help":"Name of claimant or deceased","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Select gender","type":"choice","label":"Sex Male  Female ","options":["Male","Female"],"required":true,"pdf_field":""},{"help":"Date of birth of claimant/deceased","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Occupation of claimant/deceased","type":"text","label":"Occupation","options":[],"required":true,"pdf_field":""},{"help":"Relationship to insured person","type":"text","label":"Relationship with Insured","options":[],"required":true,"pdf_field":""}],"filled_by":"insured or claimant"},{"title":"Accident Details","fields":[{"help":"Date when accident occurred","type":"date","label":"Date of accident (dd/mm/yy)","options":[],"required":true,"pdf_field":""},{"help":"Time of accident with am or pm","type":"text","label":"Time of accident am/pm","options":[],"required":true,"pdf_field":""},{"help":"Indicate if witnesses present","type":"yes-no","label":"Are there any witnesses to the accident Yes  No ","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Names and contacts of witnesses","type":"text","label":"If yes, kindly provide name(s) and contact details","options":[],"required":false,"pdf_field":""},{"help":"Description of accident circumstances","type":"text","label":"How did the accident happen","options":[],"required":true,"pdf_field":""},{"help":"Indicate if accident was reported to police","type":"yes-no","label":"Was the accident reported to Police Yes  No ","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Reasons for not reporting to police","type":"text","label":"If not, kindly state the reasons","options":[],"required":false,"pdf_field":""},{"help":"Indicate if hospitalization occurred","type":"yes-no","label":"Whether hospitalized following the accident Yes  No ","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Hospital details if hospitalized","type":"text","label":"If yes, name & address of hospital","options":[],"required":false,"pdf_field":""}],"filled_by":"insured or claimant"},{"title":"Other Insurances for Personal Accident","fields":[{"help":"Columns: Name of insurer, Policy Number, Period of insurance, Coverage, Sum insured","type":"table","label":"Details of any other insurance (arranged by self, spouse, parents or employer) under which claimant/deceased is covered","options":[],"required":false,"pdf_field":""}],"filled_by":"insured or claimant"},{"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":"Bharat Griha Raksha Policy claims","attachments":["legible copy of FIR/Fire Brigade Report if loss reported to Police/Fire Brigade","copy of report from the meteorological department /newspaper clipping if loss caused by Act of God perils","original or certified copy of FIR","copy of Policy if other insurance covers the loss"],"declarations":["The form is not an admission of liability by the insurer.","The insured must answer all questions fully and accurately.","Do not dispose or destroy damaged property without consent of surveyor or insurer.","The insured should not admit liability to third parties.","All statements made are true to the best of the insured's knowledge and belief.","The 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/764-claim-form-bharat-griha-raksha"}