Contact Us
Contact
Step 2 of 6: Contact Information
1: Getting Started
2: Contact Information
3: Loss Details
4: Additional Information
5: Review
6: Confirmation
Confirmation
Contact Information
What is your name?
What is your relationship to policy holders?
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What is the relationship between the person opening this claim and the policyholder(s) on the policy?
What is your phone number?
What is your alternate phone number?
What is your Email?
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A confirmation email will be sent to this address on submission of this claim.
What is your address?
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This is for contact purposes only. We will ask about the loss location a bit later.
What is your unit number?
What is your city?
Please tell us your province.
Select
Please tell us your country.
Select
Canada
US
Postal Code
Contact Instructions (e.g. How would you like us to contact you? When is the best time to reach you?)
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Please enter anything you'd like to tell us about contacting you.
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