{"id":823,"title":"OFFICE PACKAGE INSURANCE POLICY (RETAIL) Claim Form Section 5: Plate Glass & Neon Sign 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+%287%29.pdf/683040d9-8fd3-7a36-980f-465c682446f7?t=1789044333216","sha256":"c91bc2eb0830f7ac688c835ca8c7856c5916dc235c7acdd2cf4cbbfcfbc5fa38","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to claim for damage to plate glass and neon signs under 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 attached to the form.","Attach photographs, repair estimates, and invoices with payment receipts.","Attach copy of FIR if malicious damage or burglary involved."],"title":"OFFICE PACKAGE INSURANCE POLICY (RETAIL) Claim Form Section 5: Plate Glass & Neon Sign Insurance","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 person’s 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. Accident details","fields":[{"help":"","type":"date","label":"Date of occurrence","options":[],"required":true,"pdf_field":""},{"help":"Specify am or pm","type":"text","label":"Time","options":["am","pm"],"required":true,"pdf_field":""},{"help":"Describe the damaged glass and location","type":"text","label":"Details of plate glass damaged and address where installed","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Where was the broken glass fitted in the premises","options":[],"required":true,"pdf_field":""},{"help":"Provide approximate dimensions","type":"text","label":"Approx size of damaged glass","options":[],"required":true,"pdf_field":""},{"help":"Specify the glass type","type":"text","label":"Type of glass","options":[],"required":true,"pdf_field":""},{"help":"Explain the incident causing damage","type":"text","label":"Describe how the damage happened","options":[],"required":true,"pdf_field":""},{"help":"Describe the condition of the glass","type":"text","label":"Is the glass broken/cracked/scratched","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Is the glass frame also damaged","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Tick the applicable cause or specify if 'Any other'","type":"choice","label":"What is probable cause of the damage","options":["Carelessness","Malicious Act","Fire/Explosion","Storm/hail","Burglary","Any other"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Did the plate glass have any other damage before the above incident occurred","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe previous damage if any","type":"text","label":"If yes, provide details","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Is anyone else responsible for the damage","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of responsible party","type":"text","label":"If yes, provide details","options":[],"required":false,"pdf_field":""},{"help":"Name the person or entity responsible","type":"text","label":"Who is responsible for repairs","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"D. Estimated cost of Repairs/replacements","fields":[{"help":"Provide estimated repair or replacement cost","type":"amount","label":"Estimated cost of Repairs/replacements","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"},{"title":"E. Details of other insurances","fields":[{"help":"List other insurance policies covering this damage","type":"text","label":"Provide details of other insurances, if any, covering the incident/damage","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"F. Details of previous losses","fields":[{"help":"Describe any prior losses related to this claim","type":"text","label":"Details of previous losses, if any","options":[],"required":false,"pdf_field":""},{"help":"Attach copy of FIR if yes","type":"choice","label":"If the breakage or damage involved malicious person or burglars, was FIR lodged","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe steps if yes, attach separate sheet if needed","type":"choice","label":"Any steps taken to prevent future recurrence","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Explain 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":"","type":"signature","label":"Signature of Insured","options":[],"required":true,"pdf_field":""},{"help":"Affix company stamp if applicable","type":"text","label":"Company’s stamp","options":[],"required":false,"pdf_field":""},{"help":"","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Section 5: Plate Glass & Neon Sign Insurance claims under Office Package Insurance Policy (Retail)","attachments":["Photographs","Estimate of repairs/replacement","Invoice and payment receipt for repairs/replacement","Copy of FIR (if applicable)"],"declarations":["I/We declare that no material information has been withheld and all statements are true to the best of my/our knowledge.","I/We declare that the items described belong to me/us and no other person has interest except as mentioned in the policy.","I/We understand 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/823-office-package-insurance-policy-retail-claim-form-section-5-plate-glass-and-neon"}