Property Claim Form Fill out the following form as completely as possible. Once you have completed the form, click the submit button to send your information. Your request will be handled promptly.Contact Person Name *Contact Person Phone Number *Policy Number *Is this a residential (home/renter's) or commercial policy?ResidentialCommercialBusiness Name *Manager on dutyManager on duty's phone numberWhat date did the incident take place? *Time incident occuredWhere did the incident take place?Cause of loss — Explain in detail how the damage occurred (E.g. theft, vandalism, wind, hail, lightning, mechanical breakdown, etc.) *Description of damaged propertyWas the incident reported to the police?YesNoName of the police departmentProbable amount of loss (if known) *List any witness names and phone numbersAdditional comments/questionsSubmit form
