DIRECT CLAIM REPORTING

AC Star	(860) 229.1111
Admiral	(856) 429.9200
AEGIS	(201) 508.2600
AFM / FM Global	(800) 320.6808
AIG / Lexington	(877) 638.4244
Allianz	(888) 347.3428
Allied World	(855) 782.4296
American Alternative	(800) 233.1957
AM Trust	(800) 215.7265
Arch	(877) 338.4004
Argonaut / Colony	(800) 820.3903
ASPEN	(415) 800.0007
AXA XL Catlin	(800) 688.1840
Axis	(678) 746.9400
Beazley	(888) 222.1123
Berkley	(855) 597.7616
Brit / State National	(615) 360.1358
CNA	(877) 262.2727
Carolina Casualty	(904) 363.0900
Chubb	(800) 433.0385
Crum & Forster	(800) 690.5520
Endurance	(212) 471.2823
Everest	(212) 230.5050
Genesis / General Re	(800) 431.9994
Great American	(800) 584.0835
Hannover Re	(800) 850.9930
Hartford	(800) 327.3636
Hartford Steam & Boiler	(888) 472.5677
HDI / Gerling	(312) 580.1900
Hiscox	(646) 452.2353
Hudson	(571) 730.4813
IFG	(877) 434.2667
James River	(804) 289.2700
Liberty Mutual / Ironshore	(800) 298.6564
Markel / Evanston	(800) 446.6671
Midwest Employers Casualty	(877) 975.2667
Munich Reinsurance America	(609) 243.4200
Nationwide / Scottsdale	(800) 423.7675
Navigators	(866) 408.1922
Odyssey Re / Hudson	(866) 546.3981
Old Republic / Phoenix	(312) 346.8100
One Beacon	(877) 248.3455
Pinnacol Assurance	(800) 873.7242
ProSight Specialty	(800) 774.1203
QBE	(212) 422.1313
Riverport	(888) 762.3083
RLI / Mt. Hawley	(800) 444.0406
RSUI / Landmark	(404) 231.3755
Safety National	(888) 995.5300
Starr Co.	(877) 984.7837
Starstone	(415) 315.1698
Swiss Reinsurance	(212) 317.5007
Tokio Marine / HCC / Philadelphia	(800) 684.9238
Travelers	(800) 238.6225
United National	(800) 621.5410
US Liability	(888) 523.5545
US Specialty	(440) 605.6100
Utah Business Insurance	(801) 990.6390
WCF	(800) 561.8008
Zurich	(800) 987.3373

 

CLAIM FORMS

Automobile Loss Notice
File Size:	61 kb
File Type:	pdf

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Liability Loss Notice
File Size:	53 kb
File Type:	pdf

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Property Loss Notice
File Size:	52 kb
File Type:	pdf

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CLAIM PROCEDURES

Automobile Accident

1. If anyone is injured, immediately render any possible first aid assistance and call emergency services.
2. Report the accident to the police.
   
3. Cooperate fully with the police, but do not make any admissions about your liability. Do not sign any statements for anyone other than an authorized representative of your insurance company.
   
4. Exchange names, driver license numbers, addresses and insurance information with the driver(s) of the other vehicle(s).
   
5. Record the following information:
   
   1. Date, time and location of accident
   2. Name and address of owner of the other vehicle, if different from the driver
   3. Names and addresses of passengers and witnesses
   4. License plate number of the other vehicle and the witnesses’ vehicles
6. Take photos of damage to vehicles and/or property, accident scene and identification (insurance cards, license plates, etc.)
   
7. Promptly report the claim.

Liability Claim

1. If anyone is injured, immediately render any possible first aid assistance and call emergency services.
   
2. Gather all available information regarding the circumstances on the claim.
   
3. Address any hazardous situation immediately.
   
4. Promptly report the claim.
   

Property Claim

1. Take appropriate steps to avoid further damage to the property.
   
2. Promptly report the claim.
   

Workers Compensation Claim

1. Seek appropriate medical attention for the injured worker
   
2. Promptly report the claim.