Report a General Liability Claim

Simply report your general liability claim via the form below. Our in-house claims team will take it from there, offering personalized assistance throughout the process.

Report Your General Liability Claim

Indicates required field

Reporting Information

Your Name

You Are A(n)

Insured Contact Name

Insured Contact Phone

Insured Contact Email

Alternate Insured Contact Phone

Policy Number

Insured Business Name

Agency Name

Loss Information

Date of Loss

Time of Loss

Description of Loss

Location of Loss (Include address, city, state)

Police/Fire Department Loss Reported To

Additional Comments

Any additional information to provide not captured above

Supporting Document(s)

Maximum 3 files.
1 GB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

By clicking this box and filling out the appropriate form, you certify that the above facts are true to the best of your knowledge and belief.