Report a Claim

We are here to assist you throughout the claim process. If you need to report a claim for your insurance, please use the form below. If you would like to submit your information by phone, please call us at 1-877-886-6259.

*Have you contacted your insurance company?



*Date of Loss/Damage
*Insurance Carrier:
Insurance Policy Number:
*Insurance Claim Number
(if applicable):
*Property Type:



*First Name:
*Last Name:
*Insured Name (if different):
*Property Address:
 
*Property City:
*Property State:
*Property Zip:
*E-mail:
*Phone:
Alternate Phone:
Fax:
How may we contact you?



How did you hear about us?
*Describe the Loss/Damage:
   
 
   
  * Required Field
   
.
 

Our Top Priority

We take customer service very seriously. Our customers are the reason we are doing business.


 

The EBA Customer
Satisfaction Award
2006-2008

100%