REPORT A CLAIM

The fastest, easiest way to report a claim is by calling our 24/7 claims hotline, where trained claims representatives are standing by to gather the appropriate information.

888-567-7285

If you prefer to submit your information online, please fill out the following form with as much detail as possible.

Name Required

Company

Email Required

Phone Required

Address Required

I am a Required

DATE OF ACCIDENT Required

TYPE OF CLAIM Required

Has a lawsuit been filed? Required

Yes

Description of Accident Required