{"id":776,"title":"CONTRACTORS 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/5553002/5571228/Claim+Form+%E2%80%93+Contractor%E2%80%99s+All+Risk.pdf/26c18ed4-2d26-cba4-c1ff-8662e92b86a9?t=1789043267059","sha256":"ed9d26e4168080bbd1a5017159da6fe329a2ef0ce1590b2a256c6dd09cf3d694","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured to claim under the Contractors All Risk Insurance Policy (Retail) for damages or losses. The policyholder or insured party fills this form.","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 and attach it.","Attach original FIR/Fire Brigade report if loss reported to authorities."],"title":"CONTRACTORS 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":"Site Supervisor’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":"choice","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":"Tick Yes or No for each item","type":"checkbox","label":"What is damaged","options":["Contract works Yes","Contract works No","Construction Plant & Machinery Yes","Construction Plant & Machinery No","Property belonging to Third Party Yes","Property belonging to Third Party No"],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date of arrival of above items to the site","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"In case of damage to Third Party property, provide name & address of third party and what is damaged","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Is there any damage to existing/surrounding property","options":[],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Is anyone else responsible for the damage","options":[],"required":true,"pdf_field":""},{"help":"Provide details 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":false,"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":"Enter estimated repair/replacement cost in rupees","type":"amount","label":"Contract works","options":[],"required":false,"pdf_field":""},{"help":"Enter estimated repair/replacement cost in rupees","type":"amount","label":"Construction Plant & Machinery","options":[],"required":false,"pdf_field":""},{"help":"Enter estimated repair/replacement cost in rupees","type":"amount","label":"Property belonging to Third Party","options":[],"required":false,"pdf_field":""},{"help":"Enter estimated repair/replacement cost in rupees","type":"amount","label":"Owner’s surrounding property","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Does the above estimate include alternations or improvements made to design, construction or material subsequent to damage repair","options":[],"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":"yes-no","label":"Has the loss or damage been reported to the Police/Fire Brigade?","options":[],"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":"","type":"yes-no","label":"Any measures taken to minimize the loss?","options":[],"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":"yes-no","label":"Any steps taken to prevent future recurrence","options":[],"required":true,"pdf_field":""},{"help":"Describe steps taken to prevent recurrence","type":"text","label":"If yes, please provide details (attach separate sheet if required)","options":[],"required":false,"pdf_field":""},{"help":"Enter contract start date","type":"date","label":"Period of contract","options":[],"required":false,"pdf_field":""},{"help":"Describe work completion status","type":"text","label":"State of completion of work (as on date of loss)","options":[],"required":false,"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":"Contractors All Risk Insurance Policy (Retail)","attachments":["legible copy of FIR/Fire Brigade Report (if loss reported to Police/Fire Brigade)"],"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/776-contractors-all-risk-insurance-policy-retail-claim-form"}