Report a Loss or Claim


Fill out the following form as completely as possible.

Once you have completed the form, click the Submit button to submit your information. Your request will be handled promptly. With after hours claims, they will be looked at the next business day. Step 1: Verify that everyone is safe. Check for injuries, when in doubt, please dial 911. Step 2: Do not discuss the incident with other parties. Limit your discussion of the incident to the police and your insurance agent. Do not admit fault. Step 3: Write down contact information for all parties involved. Include names, phone numbers, and insurance information. In additional to contact information, write details about the incident. Step 4: If your phone has a built in camera, take pictures to preserve the scene for later review. Step 5: Use the following form to notify us of the report a loss or claim.