Property Damage

File a Property Claim - Building and/or Contents

Complete the form below to send us your initial Property Claim Report. Sections marked with an (*) are required. At the bottom of the page, you are able to upload documents and photos related to your claim. We will follow up with you soon after the report is submitted and received. Please always feel free to contact us at 800-882-0801. Thank you.

Property Claim Report
Name*
First Last
Phone Number*
Email*
Your Department/Organization Name*
Date of Incident*
Month
Day
Year
Time of Incident

: Hour

Minute

AM/PM
Location of Incident*
Owner of damaged property (if other than you)
Owner's Name
First Last
Owner's Phone Number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Insurance Company
Policy Number
Insurance Company / Agent Phone Number
Describe Damaged Property & How Damaged Occurred
Witness Information
Witness # 1 Name
First Last
Witness #1 Phone Number
Witness #1 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Witness #2 Name
First Last
Witness #2 Phone Number
Witness #2 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Additional Incident Information
Was a Police Report Filed?
- Yes
- No
- N/A
If Yes, Enter Police Department Name
Police Report Number
Incident Description: Describe damage and how it happened. Include any additional information you think we should know.
Upload Photos and Documents Below
Use this section to upload any photos or documents related to this claim. If you're using a mobile device, you can easily snap photos with your smartphone after clicking any of the 'Choose File' buttons below. We accept photos of all documents including police reports.
Upload File(s)
Drop files here or

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 50 MB.
Click below to submit your claim. We will follow up with you asap.
Phone
This field is for validation purposes and should be left unchanged.

Property Damage

Property Damage

File a Property Claim - Building and/or Contents

Property Claim Report

Owner of damaged property (if other than you)

Witness Information

Additional Incident Information

Upload Photos and Documents Below

Click below to submit your claim. We will follow up with you asap.