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Glossary
Glossary

 



Claim Reporting Form

Use this convenient on-line form to report non-emergency claims. Non-emergency claims may include minor damage to your vehicle, home or business and small thefts.

For emergency claims, please call our office immediately at (905) 890-0090 or 1-800-813-4450 during normal business hours (Monday to Friday 8:30am to 5:30pm). For claims emergencies outside of our normal office hours, please visit our How to Report a Claim Page for instructions on what to do.

For more serious claims (car accidents, thefts from your home or car and personal injury), it's important that you contact the police. You should also get the names and phone numbers of all individuals involved in the accident as well as any witnesses. If your car accident is the result of a hit-and-run (ie. your car was damaged by an unknown vehicle while parked) it's important you report the claim to the police as well.

In order to ensure your claim is processed promptly and accurately, it's important that you enter all information that is requested and that you provide as much detail as possible in the description box.

If you're unsure of how to complete the form, have a question regarding your coverages or how the claim will be handled, please call our office during regular business hours.

PERSONAL INFORMATION
Name:
Policy Number: (required)
Type of Policy:
CONTACT INFORMATION
E-mail address: (required)
Home Telephone:
Office Telephone:
CLAIM INFORMATION
When did your claim occur?:     
What time?
Where did your claim occur (be as specific as possible)?
Please describe what happened and the type and amount of damage?

If the police were called, please provide the following information:

Police Officer's Name:
Badge number:
Report number:

For car accidents that involved another vehicle, please provide the following information:

Name of other driver:
Phone number:
Drivers License Number:
Vehicle type (year, make and model):
Insurance Company:
Policy Number: