Jump to:
Content -
accesskey 1
Main menu -
accesskey 2
Tool pane
Footer
Home
Français
Facebook
LinkedIn
Instagram
Main menu
Menu
Types of insurance
Personal Insurance
Commercial insurance
Farm Insurance
Professional Liability Insurance
Leisure Insurance
Special Event Insurance
Life Insurance
Financial Services
Tools and resources
FAQ
Useful Links
Report a claim
Request a quote
About us
Contact us
Tool pane
Search
Search
Style
Reset
Font size:
bigger
. Increase font size.
smaller
. Decrease font size.
You are here:
Home
Tools and resources
Report a claim
REQUEST A QUOTE
REPORT A CLAIM
CONTACT YOUR BROKER
Report a Claim
Please fill out all of the fields marked by an asterisk*
First Name
*
Please fill the required field.
Last Name
*
Please fill the required field.
Email
*
Please fill the required field.
Telephone Number
*
Please fill the required field.
Type of Claim
*
Select one
Automobile Claim
Property Claim
Commercial Claim
Please fill the required field.
Are there any injuries?
*
Yes
No
Details of the Incident (Date / time / details)
*
Please fill the required field.
PHA+PHN0cm9uZz5Gcm9tOiA8L3N0cm9uZz57e2ZpcnN0LW5hbWV9fSB7e2xhc3QtbmFtZX19PC9wPgo8cD48c3Ryb25nPkVtYWlsOiA8L3N0cm9uZz57e2VtYWlsfX08L3A+CjxwPjxzdHJvbmc+VGVsZXBob25lIE51bWJlcjogPC9zdHJvbmc+e3t0ZWxlcGhvbmUtbnVtYmVyfX08L3A+CjxwPjxzdHJvbmc+VHlwZSBvZiBDbGFpbTogPC9zdHJvbmc+e3t0eXBlLW9mLWNsYWltfX08L3A+CjxwPjxzdHJvbmc+QXJlIHRoZXJlIGFueSBpbmp1cmllczogPC9zdHJvbmc+e3t5ZXN9fSB7e25vfX08L3A+CjxwPjxzdHJvbmc+RGV0YWlscyBvZiB0aGUgSW5jaWRlbnQ6IDwvc3Ryb25nPnt7ZGV0YWlscy1vZi10aGUtaW5jaWRlbnR9fTwvcD4=
Send
Switch to the desktop layout
Switch to mobile site
