{"id":814,"title":"OFFICE PACKAGE INSURANCE POLICY (RETAIL) Claim Form Section 2: Burglary and Robbery","purpose":"claim","insurer":{"slug":"magma-general-insurance","name":"Magma General Insurance Limited"},"source_pdf":"https://www.magmainsurance.com/documents/5553002/0/Claim+Form+-+Office+Package+%281%29.pdf/8d58c068-80c5-b88e-1478-e6d7252e85b4?t=1789044323728","sha256":"107c1166d686506cea7218401f6d9c503ef07442d4d367e7eba6f7dd86c68580","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is for insured persons under the Office Package Insurance Policy (Retail) to claim for burglary and robbery losses.","notes":["Use the exact details as per policy documents.","Attach a list of stolen articles with their values.","Form must be signed by the insured and witnessed."],"title":"OFFICE PACKAGE INSURANCE POLICY (RETAIL) Claim Form Section 2: Burglary and Robbery","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured Details and Incident Information","fields":[{"help":"","type":"text","label":"Claim No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy No","options":[],"required":null,"pdf_field":""},{"help":"Write your full name as per the policy","type":"text","label":"Name of the insured in full","options":[],"required":null,"pdf_field":""},{"help":"Write your full address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"Write your occupation","type":"text","label":"Occupation","options":[],"required":null,"pdf_field":""},{"help":"Write the full address of the premises where burglary occurred","type":"text","label":"Full address of the premises broken into","options":[],"required":null,"pdf_field":""},{"help":"Specify date and time of burglary","type":"text","label":"The day and hour the premised were broken into","options":[],"required":null,"pdf_field":""},{"help":"Describe how the burglars entered the premises","type":"text","label":"How the entrance was effected?","options":[],"required":null,"pdf_field":""},{"help":"List the rooms that were entered by burglars","type":"text","label":"Which rooms were entered?","options":[],"required":null,"pdf_field":""},{"help":"State if anyone was present during the burglary","type":"text","label":"Whether the premises were inhabited at the time of the burglary?","options":[],"required":null,"pdf_field":""},{"help":"Specify the duration the premises were uninhabited","type":"text","label":"If not, for what periods have they been uninhabited since the last premium was due?","options":[],"required":null,"pdf_field":""},{"help":"Provide date and police station details where theft was reported","type":"text","label":"When did you inform the police authorities of the theft and at which station?","options":[],"required":null,"pdf_field":""},{"help":"State if you are the sole owner of the stolen property","type":"text","label":"Whether you are the sole owner of the property stolen?","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated total value of contents at time of burglary","type":"text","label":"State the estimated value of the total contents of the premises at the time of the Burglary.","options":[],"required":null,"pdf_field":""},{"help":"Mention fire insurance sum and insurer if any","type":"text","label":"For what sum you insure the contents against Fire and with which company?","options":[],"required":null,"pdf_field":""},{"help":"Provide details of any other burglary insurance on the property","type":"text","label":"Are there any other insurance against Burglary upon the same property? If so give full particulars?","options":[],"required":null,"pdf_field":""},{"help":"Describe any previous fire or burglary losses","type":"text","label":"Have you ever before sustained loss by fire or burglary? If so give particulars.","options":[],"required":null,"pdf_field":""},{"help":"Fill in time, date, and value of stolen articles; confirm declarations","type":"text","label":"I/We the above named being insured under the above policy do hereby declare and set forth that at or about __ O’clock a.m/p.m on the __/__/__ A theft was committed at the above described premises in the manner stated and the articles enumerated in the within list and valued at sum of Rs. __ were stolen therefrom and I/We further declare that no other person has any interest in the said property, as Owner, Mortgage, Trustee or otherwise, and that is not otherwise insured against Burglary, with this or any other office except as above stated.","options":[],"required":true,"pdf_field":""},{"help":"Name of witness","type":"text","label":"Witness","options":[],"required":null,"pdf_field":""},{"help":"Occupation of witness","type":"text","label":"Occupation","options":[],"required":null,"pdf_field":""},{"help":"Address of witness","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of the Insured","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Office Package Insurance Policy (Retail) - Burglary and Robbery claims","attachments":["List of articles stolen (as per 'articles enumerated in the within list')"],"declarations":["The insured declares the theft was committed at the described premises at the stated time and manner.","The insured declares the articles listed and valued were stolen.","The insured declares no other person has interest in the stolen property.","The insured declares the property is not insured against burglary elsewhere except as stated."],"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/814-office-package-insurance-policy-retail-claim-form-section-2-burglary-and-robbery"}