Claims


 

Please choose from the following options to report your claim:
  • Click here to get a listing of companies that will take your claim directly, either by phone or online reporting
  • Complete the form below, this option is best if you want to consult with us about your claim
  • Call us at (650) 344-2030


IMPORTANT:  Submitting any information on these forms does not guarantee that we will receive it.  Forms are considered not received until you have received an email from our staff addressing the specific issue of the submitted form.  In no way does submitting the form give you any coverage you have requested; the only way coverage exists is that you have received an updated copy of your policy and the premium has been paid for the change (or credited in the event of a reduction of coverage).
Insured
*Client's Name:
* Policy No:
Address:
*Phone:
(e.g. (XXX)-XXX-XXXX)
* Email Address:
Contact (if different from the insured)
Name:
Phone:
(e.g. (XXX)-XXX-XXXX)
Email:
Loss
*Date of loss:
*Time of loss:
* Location of loss:
*Description of Loss:
*Agency or Department where loss is reported (Police or Fire Dept):
*Third party information :

*Please type the letters as shown:
*Required Fields
You may lodge your claim by calling our agency at (650) 344 2030 or
you may contact your carrier at the numbers below:

For carriers not listed, please contact us directly.