{"id":773,"title":"CLAIM FORM","purpose":"claim","insurer":{"slug":"magma-general-insurance","name":"Magma General Insurance Limited"},"source_pdf":"https://www.magmainsurance.com/documents/5553002/5571231/Claim+Form+%E2%80%93+Contractor%E2%80%99s+Plant+%26+Machinery.pdf/923a3756-cf9b-990f-2bf1-295d033efc61?t=1789042334574","sha256":"9adce362dc5cce27bc821f756d6591c75e4782685ade50d290dacf4e5e4aadbf","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to report and claim loss or damage under the Contractors Plant and Machinery Insurance Policy (Commercial).","notes":["The issue of this form is not to be taken as an admission of liability.","Agents are not authorized to accept notification of loss or damage."],"title":"CLAIM FORM","submit":{"to":"The Company at its Head Office/ Claims Office","how":"","address":""},"purpose":"claim","sections":[{"title":"Policy and Claim Details","fields":[{"help":"Enter your insurance policy number.","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Enter the claim number if already assigned.","type":"text","label":"Claim No.","options":[],"required":null,"pdf_field":""},{"help":"Enter the name of the policyholder.","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"Enter the full address of the policyholder.","type":"text","label":"Address","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Details of Loss or Damage","fields":[{"help":"Provide the date and time (with AM/PM) when the loss or damage happened.","type":"date","label":"When did the loss or damage occur? (state date and hour)","options":[],"required":null,"pdf_field":""},{"help":"Provide full name and address of any witness to the incident.","type":"text","label":"Give the name and address of the witness to the occurrence.","options":[],"required":null,"pdf_field":""},{"help":"Specify the damaged item from the inventory.","type":"text","label":"Give the details of the damage :- (a) Item of the Inventory","options":[],"required":null,"pdf_field":""},{"help":"Enter the sum insured amount for the item.","type":"amount","label":"(b) Sum Insured","options":[],"required":null,"pdf_field":""},{"help":"Describe the machine's output or capacity.","type":"text","label":"(c) Type of machine output or capacity","options":[],"required":null,"pdf_field":""},{"help":"Provide manufacturer name and year as per maker's plate.","type":"text","label":"(d) Manufacturers and year of manufacture (Full details on maker's plate to be given)","options":[],"required":null,"pdf_field":""},{"help":"Estimate the replacement cost for a new machine of similar size and capacity.","type":"amount","label":"(e) What is the cost of replacement of the machine by a new machine of the same size and capacity?","options":[],"required":null,"pdf_field":""},{"help":"Specify if the property was brand new or used.","type":"text","label":"(a) Was the property brand new or second hand?","options":[],"required":null,"pdf_field":""},{"help":"Provide details of last maintenance or overhaul before damage.","type":"text","label":"(b) What was the last occasion before the damage when the machine was over hauled or attended to for maintenance or damage","options":[],"required":null,"pdf_field":""},{"help":"State if the property is completely destroyed.","type":"text","label":"Is the damaged property totally destroyed?","options":[],"required":null,"pdf_field":""},{"help":"Describe the incident and specify damaged parts requiring replacement.","type":"text","label":"What has occurred and which parts of the property are damaged to such an extent the replacement is necessary?","options":[],"required":null,"pdf_field":""},{"help":"State if guarantee period expired and provide date if applicable.","type":"text","label":"Has the period of guarantee expired? If so, when?","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated loss or damage amount in rupees.","type":"amount","label":"What is the estimated amount of loss or damage? Rs.","options":[],"required":null,"pdf_field":""},{"help":"Explain cause and circumstances of damage in detail; attach sketch if possible.","type":"text","label":"What was the cause of the damage and how did it occur? (This question must be answered in detail and a sketch given wherever possible)","options":[],"required":null,"pdf_field":""},{"help":"State if any prior repairs were done.","type":"text","label":"(a) Has the property undergone any repairs previously?","options":[],"required":null,"pdf_field":""},{"help":"Describe the type of previous repairs.","type":"text","label":"(b) What was the nature of such repairs?","options":[],"required":null,"pdf_field":""},{"help":"Provide full name and address of the repair workshop.","type":"text","label":"Give the name and address of the workshop where repairs will be executed : (Provisional repairs will be indemnified)","options":[],"required":null,"pdf_field":""},{"help":"Specify date, time and place for inspection of repaired machinery.","type":"text","label":"Upon completion of survey and loss assessment when and where the duly repaired/reinstated machinery can be inspected by Magma General Insurance Limited or Surveyor.","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Declaration and Signature","fields":[{"help":"Enter the date of signing the form.","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Sign the form here.","type":"signature","label":"Signature of Insured","options":[],"required":null,"pdf_field":""},{"help":"Enter the place where the form is signed.","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Print the name of the insured person signing the form.","type":"text","label":"Name","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":["As soon as loss or damage has become known the Company at its Head Office/ Claims Office must be notified without delay on the present form."],"applies_to":"Contractors Plant and Machinery Insurance Policy (Commercial)","attachments":[],"declarations":["The undersigned policyholder declares to have answered the above questions conscientiously and faithfully.","The policyholder is liable for the correctness and completeness of his statement."],"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/773-claim-form"}