Report a Flood,
Earthquake, or
Catastrophe
Claim

Tell us what happened

Please submit your claim using the form below. By completing this form you agree to our privacy policy.

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Report a Catastrophe Claim

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1. Your information

First name*

Last name*

Relationship to claimant*

Employer (optional)

Phone number*

Email*

2. Policy information

Policy number

Name of insured*

Address line 1*

Address line 2 (optional)

City*

State*

Zip Code*

3. Address where loss occurred

Address line 1*

Address line 2 (optional)

City*

State*

Zip code*

4. Claim description

Date of loss*

Time of loss*

Describe what happened*

Describe what was damaged*

5. Other insurance

Other Insurance*

I understand that all applicable insurance carriers should be notified of this claim.

If you prefer to submit your claim using email or phone, please contact our 3rd party claims team, Crawford & Company, at crawford_programs_west@us.crawco.com or 844.208.2513.

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Report a Flood,
Earthquake, or
Catastrophe
Claim

Tell us what happened

Report a Catastrophe Claim

1. Your information

2. Policy information

3. Address where loss occurred

4. Claim description

5. Other insurance

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Policyholders

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Resources

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Insurance Products

Reporting Claims

Claims Requirements

Injured Worker Services

Payments

Billing

Info

Work Comp Services

Catastrophe Resources

Join ICW Group

Resources

Join ICW Group

Resources

Report a Flood, Earthquake, or Catastrophe Claim

Tell us what happened

Report a Catastrophe Claim

1. Your information

2. Policy information

3. Address where loss occurred

4. Claim description

5. Other insurance

Company

Insurance Products

Policyholders

Agents

Resources

Company

Insurance Products

Policyholders

For Agents

Resources

Report a Flood,
Earthquake, or
Catastrophe
Claim