The general purpose
for this Claims Documentation Form is to provide you with an easy to use way
of supplying the claims process with a written description of exactly what
happened, in your own words.
Providing this information does
NOT replace the need for a claims adjuster to personally contact
you. It does however allow you to document, in great detail, what has
occurred for your file and records within our office.
In the event of a natural
disaster (i.e. tornado, flood, storm, fire, etc..) where basic services have
been interrupted, this form further allows us to receive information from you
that could otherwise be difficult to receive if our telephone lines were
consistently busy due to the disaster. In such an instance try to remember how
far reaching the Internet can be... If you can get to a computer with Internet
access, you can quickly use this method to communicate your situation with
us.
Please remember to: Always
call first to report your claim.
Red Identifiers
Indicate A Required Field