Make a Claim

Simply fill out the form below and one of our claims specialists will contact you shortly. Fields marked with an * are required

Name*
First Last
Email*
Phone*
Mobile Phone
Business Name
State*
Please select your claim type*
Description of claim*
Click below to upload files to substantiate your claim eg. police report, images etc. You can upload a maximum of 3 files .jpg, .png and .pdf only. Max size per file is 5MB.
Upload Files
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 15 MB, Max. files: 3.
Please provide any additional details you would like to advise your claims specialist