Your policy stipulates the time you have in which to report a claim. Use this form to send claim details to First Service immediately. We’ll respond promptly.

You can also send claim information by fax: 1-800-591-1845.

If you have any questions, call us at 1-800-591-9692.

Report a Claim

If you have received a Suit or other documentation regarding a claim, please forward the documents via fax (1-800-591-1845, ATTENTION: Claims Department) and fill out the form below. If you have NOT received a Suit or other documentation, simply fill out the short form below.

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*	Business Name:

	Contact Person:

*	Phone:

	Mobile Phone:

*	Email:

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	Date of Loss:	/ /

	Description:

Please note that insurance transactions, – requests to incept, change or otherwise alter coverage, – are NOT effective without written acknowledgement from the carrier issuing coverage. First Service will notify you in writing when the carrier has confirmed your request.

Report a Claim

SECTION 1

SECTION 2

LIC #0C13473