Report A General Liability Claim

STOP! Before you report this claim, PLEASE READ:

• Report ALL General Liability claims as soon as you, or anyone else insured under your policy, is aware that something has happened.
• Even if you only think someone may have been hurt, or that someone’s property may have been damaged – REPORT IT.
• Report ALL SUITS filed against you.  There is a time limit for responding to suits, so please DON’T DELAY.
• Many third party liability claims start as minor incidents that no one thinks are important at the time.
  • FOR EXAMPLE, someone slips and falls while visiting your model home, but insists they don’t need medical attention.  This person may file a claim, or suit months, or even years later.
  • You may not have coverage then if you knew about the incident, but failed to report it in a timely manner.

• A good RULE OF THUMB:  if you know about it, REPORT IT.
• Your premium WILL NOT go up just because you file a claim.

 

• When did the accident or loss happen?*
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• First Name*
• Last Name*
• Business Name*
• Phone*
• Email*
• Address Where Incident Occurred
• City
• State
• Zip
• Is anyone hurt?*
  YesNo
• Is there damage to the property?*
  YesNo
• If you know, please provide the name(s) of anyone else (including subcontractors) involved in this accident, loss or suit
• Did anyone witness the accident or loss?*
  YesNo
• Witness Information

  Witness Name	Witness Address	Witness Phone #	Witness Email

• If you can, please provide a brief description of the accident, loss or suit
• Phone
  This field is for validation purposes and should be left unchanged.

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