Make a claim online

Making a claim is easy, simply complete the form below and we’ll get your claim started.

"*" indicates required fields

First name*

Last name*

Phone

Mobile phone*

Email address*

City/State*

Business name*

Industry*

Claim type*

Description of claim*

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. file size: 10mb.

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 10 MB, Max. files: 3.

Please provide us any additional details*

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Phone

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