{"id":793,"title":"Project Professional Indemnity Insurance Policy Claim Form","purpose":"claim","insurer":{"slug":"magma-general-insurance","name":"Magma General Insurance Limited"},"source_pdf":"https://www.magmainsurance.com/documents/5553002/20250707/Claim+Form+-+Project+Professional+Indemnity+Insurance+Policy.pdf/aed02652-753a-3f4e-7294-e2c2c379ccea?t=1789042490203","sha256":"71e122e307e0cefa440ac912e9062e8f2daeb7c8039b83c9006217ea4c76eacc","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used to notify and claim under the Project Professional Indemnity Insurance Policy. It is to be completed and signed by a Director, Partner, or Principal of the Insured organization.","notes":["Issue of this form is not to be taken as an admission on liability.","Notify the company without delay as soon as loss or damage is known.","If any detail or information is not readily available, do not delay dispatch of this form; such particulars may be sent later.","Appointment of legal representatives should not occur without prior consent of Magma General Insurance Ltd."],"title":"Project Professional Indemnity Insurance Policy Claim Form","submit":{"to":"Magma General Insurance Limited","how":"","address":""},"purpose":"claim","sections":[{"title":"A: INSURED","fields":[{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Full Name of the Organization","options":[],"required":null,"pdf_field":""},{"help":"Include full address with street, city, etc.","type":"text","label":"Registered address of Insured Organization","options":[],"required":null,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"State of the insured organization","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Contact number of the insured organization","type":"phone","label":"Telephone Number","options":[],"required":null,"pdf_field":""}],"filled_by":"Insured (Director, Partner, or Principal)"},{"title":"B: DETAILS OF CLAIMANT","fields":[{"help":"Name of the person or entity making the claim","type":"text","label":"Full name of Claimant or potential claimant (i.e. party claiming against you)","options":[],"required":null,"pdf_field":""},{"help":"Full address of the claimant","type":"text","label":"Complete address of claimant","options":[],"required":null,"pdf_field":""},{"help":"State of the claimant","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Contact number of the claimant","type":"phone","label":"Telephone Number","options":[],"required":null,"pdf_field":""}],"filled_by":"Insured (Director, Partner, or Principal)"},{"title":"C: DETAILS OF INSURED’S CONTRACT WITH CLAIMANT","fields":[{"help":"Describe the services provided under the contract","type":"text","label":"What were you retained or contracted to do (details of services)","options":[],"required":null,"pdf_field":""},{"help":"State if a written contract exists and attach a copy if available","type":"text","label":"Is there a contract /retainership / agreement with the claimant evidenced in writing? If so, please attach a copy, otherwise, please provide appropriate particulars","options":[],"required":null,"pdf_field":""},{"help":"Specify any products or services provided","type":"text","label":"Were any Product/services rendered to the claimant","options":[],"required":null,"pdf_field":""},{"help":"Date or period when the work or services were performed","type":"date","label":"When did you perform the work/render services on which the claim arises or may arise","options":[],"required":null,"pdf_field":""},{"help":"Details of the employee involved","type":"text","label":"Name, designation work profile of the person within your company who performed the work or against whom the claim or potential claim is directed","options":[],"required":null,"pdf_field":""},{"help":"Repeat or elaborate on services contracted","type":"text","label":"What were you retained or contracted to do (details of services)","options":[],"required":null,"pdf_field":""},{"help":"Repeat or elaborate on contract details","type":"text","label":"Is there a contract /retainership / agreement with the claimant evidenced in writing? If so, please attach a copy, otherwise, please provide appropriate particulars","options":[],"required":null,"pdf_field":""}],"filled_by":"Insured (Director, Partner, or Principal)"},{"title":"D: DETAILS OF CLAIM","fields":[{"help":"Describe the claim or circumstances in detail","type":"text","label":"What is the precise nature of the claim (i.e. the claimant’s allegations of the insured) or the circumstances which might give rise to a potential claim?","options":[],"required":null,"pdf_field":""},{"help":"Date of first awareness of claim and attach correspondence if any","type":"date","label":"On which date did you first become aware of the claim or the circumstances leading to a claim. If received by you in writing, please provide a copy of the correspondence. If oral, please give a first-person account of the conversation","options":[],"required":null,"pdf_field":""},{"help":"Claim amount and breakdown if possible","type":"amount","label":"What amount is being claimed? Please provide breakup, if available","options":[],"required":null,"pdf_field":""},{"help":"Your response and opinion on the claim amount","type":"text","label":"What are your comments in response to the claim and your opinion on the quantum of claim?","options":[],"required":null,"pdf_field":""},{"help":"Additional relevant information and documents","type":"text","label":"Are there any other details that you might wish to share with Magma General Insurance Limited, or which could be of interest so that We might have a better understanding of the circumstances leading to the claim. Please provide documents, if any.","options":[],"required":null,"pdf_field":""},{"help":"Details of legal representation if engaged","type":"text","label":"As of now, have you engaged any legal representative to act for you? If so, please provide name, firm, address and charge out rates","options":[],"required":null,"pdf_field":""}],"filled_by":"Insured (Director, Partner, or Principal)"},{"title":"E: DECLARATION AND AUTHORIZATION","fields":[{"help":"Sign here to declare the information is true and authorize information exchange","type":"signature","label":"Signature of the Insured","options":[],"required":true,"pdf_field":""},{"help":"Print full name of the signatory","type":"text","label":"Full Name of Person Signing","options":[],"required":true,"pdf_field":""},{"help":"Designation of the signatory","type":"text","label":"Designation of the Person Signing","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place where the form is signed","type":"text","label":"Place","options":[],"required":true,"pdf_field":""}],"filled_by":"Insured (Director, Partner, or Principal)"}],"deadlines":[],"applies_to":"Project Professional Indemnity Insurance Policy claims","attachments":["Copy of contract/retainership/agreement with the claimant if evidenced in writing","Copy of correspondence if claim was received in writing","Any other documents relevant to the claim"],"declarations":["The information and answers given above are true, correct and complete in every detail.","The claim may be refused if information is not true or is withheld.","Authorization for Magma General Insurance Ltd. to exchange information with other insurers, government bureaus or any other agency for decision on indemnity."],"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/793-project-professional-indemnity-insurance-policy-claim-form"}