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Business Insurance Claim

  1. Report a Claim
  2. Business Insurance Claim
  • E&S Bonded and P&C Licensed
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Business Insurance ClaimSheldon Altschuler2024-02-01T10:26:15-05:00
To find your policy number, please visit your Client Center. In your policies list, click Actions, then click Report a Claim
MM slash DD slash YYYY
Location of Loss
If street location is unknown, please describe the location of the loss to the best of your ability.
Were the police called?
Please describe what happened to the best of your ability.

Auto Claim Questions

Driver's Name(Required)
(year, make, model, and/or VIN)
i.e. At home, auto body shop name, friend's house, side of the road, etc.
Name of Other Driver(Required)
(year, make, model, and/or VIN)
Please describe what happened to the best of your ability.

Workers Comp Claim Questions

MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
(Optional) Such an union representative, office manager, significant other, etc.
(Optional)
MM slash DD slash YYYY
MM slash DD slash YYYY
Were Safeguards or Safety Equipment Provided?(Required)
Were Safeguards / Safety Equipment Used?(Required)
Did Injury / Illness Occur on Employer Premises?(Required)
Did employee seek medical treatment?(Required)
What type of medical treatment facility?(Required)
How did employee arrive at the medical facility?(Required)
If employee declined treatment, did they sign a Declination form?(Required)
Optionally upload any additional files such as copies of drivers licenses, auto ID cards, estimates, forms, doctor summaries, etc.
Drop files here or
Max. file size: 12 MB.
    This field is for validation purposes and should be left unchanged.
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    DISCLAIMER: Informational statements regarding insurance coverage are for general description purposes only. These statements do not amend, modify or supplement any insurance policy. Read your policy or consult with your agent for details. Your eligibility for particular products and services is subject to final underwriting and acceptance by the insurance company providing such products or services.

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