{"id":816,"title":"Shopkeeper’s Package Policy (Retail) Machinery Insurance Claim Form","purpose":"claim","insurer":{"slug":"magma-general-insurance","name":"Magma General Insurance Limited"},"source_pdf":"https://www.magmainsurance.com/documents/5553002/0/Claim+Form%E2%80%93+Shopkeeper%27s+Package+Machinery+Insurance.pdf/37d4f561-443c-7b8f-e55d-c29bce14862a?t=1789044313531","sha256":"5fe14f013ea6ac6916f83cbc8dccd66096bafead0e96cbeeab852b8198d69586","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to claim for damage or loss related to machinery under the Shopkeeper's Package Policy (Retail).","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.","Use separate sheet if space is insufficient."],"title":"Shopkeeper’s Package Policy (Retail) Machinery 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":"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. Machinery details","fields":[{"help":"Exact location where the machinery is installed","type":"text","label":"Location of damaged machinery","options":[],"required":true,"pdf_field":""},{"help":"Brief description of the machinery","type":"text","label":"Description of damaged machinery","options":[],"required":true,"pdf_field":""},{"help":"Manufacturer or brand","type":"text","label":"Make","options":[],"required":true,"pdf_field":""},{"help":"Type or category of machinery","type":"text","label":"Type","options":[],"required":true,"pdf_field":""},{"help":"Model number or name","type":"text","label":"Model","options":[],"required":true,"pdf_field":""},{"help":"Serial number of the machinery","type":"text","label":"Serial No.","options":[],"required":true,"pdf_field":""},{"help":"Year when the machine was manufactured","type":"number","label":"Year of manufacture","options":[],"required":true,"pdf_field":""},{"help":"Horsepower or kilowatt rating","type":"number","label":"HP/KW","options":[],"required":false,"pdf_field":""},{"help":"Date when manufacturer warranty ends","type":"date","label":"Date of expiry of manufacturer warranty","options":[],"required":false,"pdf_field":""},{"help":"Sum insured amount for the machinery","type":"amount","label":"Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"Estimated cost to replace with a new machine","type":"amount","label":"Cost of replacement by a new machine of same type/capacity","options":[],"required":true,"pdf_field":""},{"help":"Last maintenance or overhaul date","type":"date","label":"Date of last maintenance service/overhaul of machine","options":[],"required":false,"pdf_field":""},{"help":"Describe any earlier repairs done","type":"text","label":"Details of previous repairs, if any","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"D. Loss details","fields":[{"help":"Date when the loss/damage occurred","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Time of incident with am/pm","type":"text","label":"Time","options":[],"required":true,"pdf_field":""},{"help":"Explain the incident in detail","type":"text","label":"Describe what happened (Attach sketch if appropriate)","options":[],"required":true,"pdf_field":""},{"help":"Reason or cause of the damage","type":"text","label":"Probable cause of damage","options":[],"required":true,"pdf_field":""},{"help":"Name and address of the person or company repairing the machine","type":"text","label":"Name & Address of repairer","options":[],"required":false,"pdf_field":""},{"help":"Provide detailed cost estimate for parts and labour","type":"text","label":"Estimate of cost of repairs, itemized separately for parts and labour","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"E. If Spoilage of frozen food is insured?","fields":[{"help":"Select Yes or No","type":"choice","label":"Did spoilage of frozen goods occur?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe the type of frozen goods spoiled","type":"text","label":"If yes, what type of goods","options":[],"required":false,"pdf_field":""},{"help":"Current storage location of the goods","type":"text","label":"Where are the goods stored now","options":[],"required":false,"pdf_field":""},{"help":"Value of spoiled goods with supporting invoices","type":"amount","label":"What was the value of goods (please attach invoices in support)","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"F. If Business Interruption or Machinery Loss of Profits is insured","fields":[{"help":"Time when machine stopped with am/pm","type":"text","label":"What time did the machine stop?","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"choice","label":"Has any production been lost?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"List affected departments","type":"text","label":"Which departments are affected by the stoppage","options":[],"required":false,"pdf_field":""},{"help":"Approximate daily business turnover","type":"amount","label":"What is your approximate daily turnover","options":[],"required":false,"pdf_field":""},{"help":"Expected completion date of repairs or replacement","type":"date","label":"When do you anticipate repairs/replacement to the damaged machine to be completed","options":[],"required":false,"pdf_field":""},{"help":"Estimated loss in turnover during downtime","type":"amount","label":"What is the estimated loss of turnover during the period of breakdown","options":[],"required":false,"pdf_field":""},{"help":"Daily increased cost of working if any","type":"amount","label":"If you are incurring increased cost of working, what is the daily cost of these","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"G. Details of other insurances","fields":[{"help":"List other insurance policies covering this loss","type":"text","label":"Provide details of other insurances, if any, covering the incident/damage or items","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"H. Details of previous losses, if any","fields":[{"help":"Describe any previous losses related to this machinery","type":"text","label":"Details of previous losses, if any","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"I. Steps taken to prevent future reoccurrence","fields":[{"help":"Describe measures taken to avoid similar damage in future","type":"text","label":"Steps taken to prevent future reoccurrence","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","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":"insured"}],"deadlines":[],"applies_to":"Machinery Insurance claims under Shopkeeper's Package Policy (Retail)","attachments":["Separate sheet if insufficient space","Sketch of incident if appropriate","Invoices supporting value of spoiled goods"],"declarations":["I/We declare that no material information has been withheld and all statements are true to the best of my/our knowledge.","The articles/property described belong to me/us and no other person has interest except as mentioned in the policy.","I/We understand 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/816-shopkeepers-package-policy-retail-machinery-insurance-claim-form"}