Complete the form below to report your loss, and a member of our Claims team will be in touch to assist you.

Alert

if this is an emergency or you require assistance immediately (weeknights & weekends)
please call us at 1-888-693-2253.

We are committed to the privacy and confidentiality of personal information. We collect, use and disclose personal information in accordance with applicable law. The personal information collected on this form will be used to handle and investigate the insurance claim.