{"id":818,"title":"OFFICE PACKAGE INSURANCE POLICY (RETAIL) Claim Form Section 6: Electronic Equipment","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+%282%29.pdf/5d980dbd-b979-deeb-29d1-ad7fff6a1639?t=1789044324188","sha256":"25ea7b62cd1bc9b0c5855774c0b8e133fd162509a75a199f5331546288f426c5","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured to claim for damage or loss of electronic equipment under the Office Package Insurance Policy (Retail). The policyholder or insured person fills it.","notes":["All questions must be answered fully; incomplete forms will be returned.","Do not dispose or destroy damaged parts/machinery without consent of surveyor or Magma General Insurance.","If insufficient space, use a separate sheet and attach it.","Attach repairers estimate for cost of damage."],"title":"OFFICE PACKAGE INSURANCE POLICY (RETAIL) Claim Form Section 6: Electronic Equipment","submit":{"to":"Magma General Insurance","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":"text","label":"Period of Insurance","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"C. Equipment Details","fields":[{"help":"","type":"text","label":"Location of damaged machine","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Description of damaged machine","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Make","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Type","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Model","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Serial No.","options":[],"required":true,"pdf_field":""},{"help":"Enter year in YYYY format","type":"number","label":"Year of Manufacture","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Item No. as per Policy","options":[],"required":true,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Whether covered under guarantee from supplier/manufacturer","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"If yes, is the manufacturer/supplier going to repair/replace the damaged machine","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Whether covered under maintenance agreement at the time of loss","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"If yes, is the damage repair/replacement covered under the agreement","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"D. Loss Details","fields":[{"help":"DD/MM/YYYY","type":"date","label":"Date of loss","options":[],"required":true,"pdf_field":""},{"help":"Enter time with am/pm","type":"text","label":"Time of loss","options":[],"required":true,"pdf_field":""},{"help":"Attach repairer's estimate document","type":"amount","label":"Estimate of cost of damage (please attach repairers estimate)","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Salvage value of damaged items","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Was any software lost or damaged","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe the software","type":"text","label":"If yes, what was it","options":[],"required":false,"pdf_field":""},{"help":"Describe cause of damage","type":"text","label":"What caused the damage","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"What is the replacement cost","options":[],"required":true,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Was any data lost","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe the data lost","type":"text","label":"If yes, what was the nature of the data","options":[],"required":false,"pdf_field":""},{"help":"Describe cause of data loss","type":"text","label":"What caused the data loss","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"What is the replacement cost","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Is there a back-up data/disk","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Explain usability of backup","type":"text","label":"If yes, is the same usable. If not, why not","options":[],"required":false,"pdf_field":""},{"help":"Enter time with am/pm","type":"text","label":"If increased cost of working or business interruption is insured - What time did the equipment fail","options":[],"required":false,"pdf_field":""},{"help":"List affected departments","type":"text","label":"Which departments are affected by the stoppage","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"What is approximate daily turnover","options":[],"required":false,"pdf_field":""},{"help":"Describe purchases made due to increased cost","type":"text","label":"What is being purchased with the increased cost","options":[],"required":false,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"When is repairs/replacement of the damaged machine expected to be completed","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"E. Details of other insurances","fields":[{"help":"List other insurance policies if applicable","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":"F. Details of previous losses","fields":[{"help":"Provide details if any previous losses occurred","type":"text","label":"Details of previous losses, if any","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"H. Steps taken to prevent future recurrence","fields":[{"help":"Describe preventive measures taken","type":"text","label":"Steps taken to prevent future recurrence","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","fields":[{"help":"","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Affix company stamp if applicable","type":"text","label":"Company’s stamp","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Office Package Insurance Policy (Retail) - Section 6: Electronic Equipment","attachments":["repairers estimate"],"declarations":["The insured declares all information 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/818-office-package-insurance-policy-retail-claim-form-section-6-electronic-equipment"}