{"id":794,"title":"HOUSEHOLDER’S PACKAGE POLICY (RETAIL) All Risk Insurance Claim Form","purpose":"claim","insurer":{"slug":"magma-general-insurance","name":"Magma General Insurance Limited"},"source_pdf":"https://www.magmainsurance.com/documents/5553002/5571045/Claim+Form+%E2%80%93+Householder%27s+Package.pdf/18b42cf4-41e1-3b1c-5b7d-96a2e2a314de?t=1789043015679","sha256":"42439f7d44e1520ea24d8ec95b479bf18d619a83de1e47d6724b7172a5110280","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is for the policyholder to claim insurance under the Householder’s Package Policy (Retail) for all risk insurance.","notes":["All questions must be answered fully; incomplete forms will be returned.","If insufficient space, use a separate sheet and attach it.","The issue or acceptance of this form is not an admission of liability by the insurer.","Do not make any offer or admission of liability to third parties.","Enclose original or certified copy of FIR if reported to police.","Enclose copies of correspondence with Carrier/Authority if claim lodged with them."],"title":"HOUSEHOLDER’S PACKAGE POLICY (RETAIL) All Risk Insurance 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 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":"policyholder"},{"title":"B. Policy Details","fields":[{"help":"","type":"text","label":"Policy No.","options":[],"required":true,"pdf_field":""},{"help":"From and to dates","type":"date","label":"Period of Insurance","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Details of Coinsurance, if any","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"C. Loss Details","fields":[{"help":"List the items damaged or lost","type":"text","label":"Item/s affected by loss","options":[],"required":true,"pdf_field":""},{"help":"Describe the loss briefly","type":"text","label":"Brief Description of loss","options":[],"required":true,"pdf_field":""},{"help":"Explain how the loss happened","type":"text","label":"Cause of loss","options":[],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"choice","label":"Has the matter been reported to the Police?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If reported, name the police station","type":"text","label":"Name of the Police Station","options":[],"required":false,"pdf_field":""},{"help":"Provide FIR number and date","type":"text","label":"FIR No. and date (Please enclose original or certified copy of FIR)","options":[],"required":false,"pdf_field":""},{"help":"If applicable, name the carrier or authority","type":"text","label":"Name of the Carrier/Authority in whose custody the loss has taken place (if applicable)","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"choice","label":"Has the claim been lodged on the Carrier/Authority","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Date of claim lodged with carrier/authority","type":"date","label":"Date when the claim has been lodged on the Carrier/Authority (Please enclose copies of the correspondence exchanged with them)","options":[],"required":false,"pdf_field":""},{"help":"Provide detailed estimate of loss","type":"text","label":"Estimate of loss (with complete breakup)","options":[],"required":true,"pdf_field":""},{"help":"Additional relevant information","type":"text","label":"Any other information which you would like to provide","options":[],"required":false,"pdf_field":""},{"help":"Date and time when loss occurred","type":"date","label":"Date & time of Loss : Date Time am/pm","options":[],"required":true,"pdf_field":""},{"help":"Date and time when loss was discovered","type":"date","label":"Date/Time Discovered","options":[],"required":true,"pdf_field":""},{"help":"Address where loss occurred","type":"text","label":"Location/Address of Loss","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"","type":"number","label":"Pin Code","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"choice","label":"Is there any other insurance in force providing cover for this loss or damage?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide insurer details if other insurance exists","type":"text","label":"If yes, please provide name of Insurer(s), policy no. and copy of Policy","options":[],"required":false,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Declaration and Signature","fields":[{"help":"Sign here","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":"policyholder"}],"deadlines":[],"applies_to":"Householder’s Package Policy (Retail) All Risk Insurance claims","attachments":["original or certified copy of FIR","copies of the correspondence exchanged with Carrier/Authority","copy of other insurance policy if applicable"],"declarations":["The insured declares that all information provided is true and no material information is withheld.","The articles/property described belong to the insured and no other person has interest except as mentioned in the policy.","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/794-householders-package-policy-retail-all-risk-insurance-claim-form"}