{"id":822,"title":"OFFICE PACKAGE INSURANCE POLICY (RETAIL) Claim Form Section 4: Money Insurance","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+%285%29.pdf/4564cf6f-443b-ebd6-0c32-195106325403?t=1789044332279","sha256":"ba4e9f4414c45c0e60ee5b4094f7977db9a7d3feb7de6734766bcfb837e28ed0","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to claim for losses under the Money Insurance section of the Office Package Insurance Policy (Retail).","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 Magma General Insurance."],"title":"OFFICE PACKAGE INSURANCE POLICY (RETAIL) Claim Form Section 4: Money Insurance","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 of the insurance period","type":"date","label":"Period of Insurance","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"C. Loss Details","fields":[{"help":"Enter the total amount of loss in rupees","type":"amount","label":"Amount of loss Rs.","options":[],"required":true,"pdf_field":""},{"help":"Date when the loss occurred","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Time of loss with am/pm","type":"text","label":"Time","options":[],"required":true,"pdf_field":""},{"help":"Date and time when the loss was discovered","type":"text","label":"Date/Time Discovered","options":[],"required":true,"pdf_field":""},{"help":"Name of the person who discovered the loss","type":"text","label":"By whom","options":[],"required":true,"pdf_field":""},{"help":"Exact location or address where the loss occurred","type":"text","label":"Location/Address of Loss","options":[],"required":true,"pdf_field":""},{"help":"Describe the nature of premises occupancy","type":"text","label":"Premises occupied as","options":[],"required":true,"pdf_field":""},{"help":"Specify the place where cash was kept at the time of loss","type":"text","label":"Where was the cash kept","options":[],"required":true,"pdf_field":""},{"help":"Provide a detailed description of the loss circumstances","type":"text","label":"Describe fully circumstances of Loss, how it happened, what caused the Loss","options":[],"required":true,"pdf_field":""},{"help":"Select whether the loss was reported to police","type":"choice","label":"Is the loss reported to Police","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Attach a copy of the First Information Report if reported","type":"attachment","label":"If yes, attach copy of FIR.","options":[],"required":false,"pdf_field":""},{"help":"Explain why the loss was not reported to police","type":"text","label":"If not, why not?","options":[],"required":false,"pdf_field":""},{"help":"If loss is due to money-in-transit, specify total amount carried","type":"amount","label":"Total Amount of money carried","options":[],"required":false,"pdf_field":""},{"help":"Specify the transit route of the money","type":"text","label":"Places between which the money was in transit","options":[],"required":false,"pdf_field":""},{"help":"Describe the method of carrying the money","type":"text","label":"How was the money being carried","options":[],"required":false,"pdf_field":""},{"help":"Name and designation of employee responsible for money custody","type":"text","label":"In whose custody was the money at the time of loss, name & designation of the employee","options":[],"required":false,"pdf_field":""},{"help":"Specify transport used for carrying money","type":"text","label":"What means of transport were used by the employee carrying the money","options":[],"required":false,"pdf_field":""},{"help":"Select if an armed guard was present","type":"choice","label":"Was an armed guard accompanying the employee carrying the money","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Specify date, time and place of loss occurrence","type":"text","label":"When and where did the loss occur","options":[],"required":false,"pdf_field":""},{"help":"Provide detailed description of loss circumstances","type":"text","label":"Describe circumstances of the loss in detail","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"D. 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","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"E. Details of previous losses","fields":[{"help":"Provide information on any previous losses","type":"text","label":"Details of previous losses, if any","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"F. General","fields":[{"help":"Provide details of Fidelity Guarantee policy if applicable","type":"text","label":"Are the employees carrying Money covered under a Fidelity Guarantee policy? If yes, provide policy details","options":[],"required":false,"pdf_field":""},{"help":"Select if loss was due to employee dishonesty","type":"choice","label":"Is the loss due to fraud/dishonesty of the money carrying employee","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Duration money was with the employee if loss was due to dishonesty","type":"text","label":"If yes, how long was the money with the employee","options":[],"required":false,"pdf_field":""},{"help":"Select if preventive steps were taken","type":"choice","label":"Any steps taken to prevent future recurrence","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe preventive measures taken","type":"text","label":"If yes, please provide details (attach separate sheet if required)","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"Declaration","fields":[{"help":"Sign the form","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Affix company stamp","type":"attachment","label":"Company’s stamp","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Office Package Insurance Policy (Retail) - Section 4: Money Insurance","attachments":["Copy of FIR if loss reported to police"],"declarations":["The insured declares that no material information has been withheld and all statements are true to the best of their knowledge.","The insured confirms that the property described belongs to them and no other person has interest except as mentioned in the policy.","The insured understands that 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/822-office-package-insurance-policy-retail-claim-form-section-4-money-insurance"}