Submit a Claim

If you have a property loss...

Protect the damaged property from additional damage.

Notify your agent as soon as possible.

Prepare an inventory list and description of the damaged property.

If repairs must be made before our adjuster can arrive take photos of the damaged property.

All fire claims must be reported to your local Fire Department.

All theft or vandalism claims must be reported to your local Police or Sheriff’s department.

Once we receive the completed loss report from you or your agent, we will assign it to one of our highly qualified independent adjusters. They will then contact you to make an appointment as soon as possible to inspect and photograph your damaged property.

Claim Form

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Insured Information

Policy Number:*

Insured Name:*

Mailing Address:*

Street Address City State ZIP Code

Contact Name:*

Contact Phone:*

Contact Email:*

Agent Information

Agency Name:*

Agency Contact:

Agency Phone Number:

Comments:

Loss Information

Date of Loss:*

Location of Loss:*

Address of Loss:*

Street Address City State ZIP Code

Reported to Authorities:

Yes

Reported by:*

Kind of Loss:*

Contact Phone:*

Description of Loss:*

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