{"id":775,"title":"ERECTION ALL RISK INSURANCE POLICY (RETAIL) 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+Erection+All+Risk.pdf/e6343a50-1474-e101-e8ee-86de256fb847?t=1789042335554","sha256":"5a11015368fb5fa6b95a67c1dbc29b1424e602b9c3429a21865f8f03c005a216","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured to claim for damages under the Erection All Risk Insurance Policy (Retail). The policyholder or insured party fills it.","notes":["All questions must be answered fully; incomplete forms will be returned.","Do not dispose or destroy damaged parts/machinery without consent of surveyor/Magma General Insurance.","If there is insufficient space, use a separate sheet attached to the form.","Attach original FIR/Fire Brigade Report if loss reported.","Attach sketch of damage if appropriate."],"title":"ERECTION ALL RISK INSURANCE POLICY (RETAIL) Claim Form","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"A. The Insured","fields":[{"help":"","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"","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 person’s 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","fields":[{"help":"","type":"text","label":"Policy No.","options":[],"required":true,"pdf_field":""},{"help":"Enter start and end dates","type":"date","label":"Period of Insurance","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"C. Accident details","fields":[{"help":"","type":"date","label":"Date of occurrence","options":[],"required":true,"pdf_field":""},{"help":"Specify am or pm","type":"text","label":"Time","options":["am","pm"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Site address","options":[],"required":true,"pdf_field":""},{"help":"Describe the incident; attach sketch if needed","type":"text","label":"Describe how the damage happened (please provide a sketch if appropriate)","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"What is probable cause of the damage","options":[],"required":true,"pdf_field":""},{"help":"Specify insured property and third party property damaged","type":"text","label":"What is damaged : Items damaged","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date of arrival of above items to the project site","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Has the damage occurred during testing","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Fill only if damage occurred during testing","type":"date","label":"If yes, when did the testing begin","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"In case of damage to Third Party property, provide name & address of third party","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Is there any damage to existing/surrounding property","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Is anyone else responsible for the damage","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Fill only if someone else is responsible","type":"text","label":"If yes, provide details","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Who is responsible for repairs","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Please give names and addresses of witnesses","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"D. Estimated cost of Repairs/replacements","fields":[{"help":"","type":"amount","label":"Estimated cost of Repairs/replacements","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Does the above estimate include alternations or improvements made to design, construction or material subsequent to damage repair","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"E. Details of other insurances","fields":[{"help":"","type":"text","label":"Provide details of other insurances, if any, covering the incident/damage","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"F. Details of previous losses, if any","fields":[{"help":"","type":"text","label":"Details of previous losses, if any","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"General","fields":[{"help":"","type":"choice","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 reported","type":"attachment","label":"If yes, please attach a legible copy of FIR/Fire Brigade Report","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Any measures taken to minimize the loss?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe measures taken to minimize loss","type":"text","label":"If yes, please provide details of the same","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Any steps taken to prevent future recurrence","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe steps to prevent recurrence","type":"text","label":"If yes, please provide details (attach separate sheet if required)","options":[],"required":false,"pdf_field":""},{"help":"Enter start and end dates","type":"date","label":"Period of project","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State of completion of work (as on date of loss)","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","fields":[{"help":"","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Affix company stamp","type":"text","label":"Company’s stamp","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Erection All Risk Insurance Policy (Retail)","attachments":["legible copy of FIR/Fire Brigade Report if loss reported","sketch of damage if appropriate","separate sheet if insufficient space or for additional details"],"declarations":["I/We declare that I/We have not withheld any material information and that all statements made on this form are true to the best of my/our knowledge and belief.","I/We declare that the articles/property described belong to me/us and no other person has any interest except as mentioned in the Policy.","I/We understand that the claim may be refused if the 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/775-erection-all-risk-insurance-policy-retail-claim-form"}