Property Loss Form

The following information is required to submit a Property Loss Claim. All information must be completed. Should you require assistance to complete this form, please contact your service representative.For more information check out our page on Property and Casualty Insurance for Nonprofits and for-profit Social Service organizations.

Insured
Upload Claim Support Material
  • Upload any claim support material you have, such as Police Reports, Hospital Reports and/or Internal Incident Reports


    Clear uploads

    Accepted file extensions: .pdf, .doc, .docx, .png, .jpg

Loss
Submission
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  • You may also print and fax this form for processing to: (718) 389-4300