Report a Claim

If you received notice of an incident or claim filed against you, please complete the form below.  You will receive a response within three business days from our receipt of your incident report.

If you need immediate assistance, please contact us at 1-888-778-3981, Monday to Friday, from 8:00 a.m. to 6:00 p.m. ET.


For NH residents only:
Any person who, with a purpose to injure, defraud or deceive any insurance company, files a statement of claim containing any false, incomplete or misleading information is subject to prosecution and punishment for insurance fraud, as provided in RSA 638:20. However, the lack of such a statement shall not constitute a defense against prosecution under RSA 638:20. N.H. R.S.A 402:82