Send Us Claim Details

If anyone is hurt or in danger, call 911 before anything else.

This form tells our office about the loss. It doesn't report the claim to your insurance company, and we read it during office hours only. If the damage is getting worse or it is after hours, call your insurance company's claims number, which is on your policy, or call us at 609-345-2203.

What to do first, and what to have ready

Give us a phone number, an email, or both. Questions marked “required” are the only ones we need.

Name on the policy (required)

The person or business the policy is written for.

Your name (required)

Policy number, if you have it

Phone

With the area code, for example (609) 555-0100.

Where did it happen? (required)

When did it happen?

What kind of damage or loss?

What happened? (required)

A few sentences is enough. Please leave out medical details about anyone who was hurt.

Can the property still be used?

YesNoNot sure

Have you already reported it to your insurance company?

YesNo

Claim number, if you have one

Sending this form is not a claim filed with your insurance company, and it isn't a decision about whether the loss is covered. Policies set time limits for reporting a loss, so don't wait on us: if you haven't heard from our office by the next business day, call.

Please don’t include Social Security, driver’s license, or bank account numbers. How we handle your information.