The general purpose for this Claims Documentation Form is to provide you with an easy to use way of supplying the claims process with a written description of exactly what happened, in your own words.
Providing this information does NOT replace the need for a claims adjuster to personally contact you. It does however allow you to document, in great detail, what has occurred for your file and records within our office.
In the event of a natural disaster (i.e. tornado, flood, storm, fire, etc..) where basic services have been interrupted, this form further allows us to receive information from you that could otherwise be difficult to receive if our telephone lines were consistently busy due to the disaster. In such an instance try to remember how far reaching the Internet can be... If you can get to a computer with Internet access, you can quickly use this method to communicate your situation with us.
Please remember:
Always call first to report your claim
* Indicates A Required Field