Claims

Claims Reporting Form

Claims reporting is as simple as calling Brandon Gaynor our claims representative at 973.383.5525 during business hours of 9AM-5PM.

Evening or weekend claims reports can be initiated via email or fax. We will follow-up with you on the next business day for details.

Fax reports to 973.383.9602.

Contact Your Insurance Company Directly:
Many of our companies have 24 hour direct reporting lines in place for your convenience. View a list of companies.


Contact Information

First Name:*

Company Name:

Address 2:

State:*

Zip:*

Cell Phone:

Email Address:*

Last Name:*

Address:*

City:*

Office/Home Phone #:

Fax#:

Best time to be reached:

Type of Loss:

Other:

Business Claim:

Other:

How should we respond to you?

Comments/Questions:

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"How you make your money is your business. How you protect it is our business."