Submit a Claim

 Statewide Underwriting provides access to a broad base of resources

Protect the damaged property from additional damage.

Notify your agent as soon as possible.

Prepare an inventory list and description of the damaged property.

If repairs must be made before our adjuster can arrive take photos of the damaged property.

All fire claims must be reported to your local Fire Department.

All theft or vandalism claims must be reported to your local Police or Sheriff’s department.

Claim Form

"*" indicates required fields

Insured Information

Mailing Address:*

Agent Information

Loss Information

MM slash DD slash YYYY
Address of Loss:*
Reported to Authorities:
This field is for validation purposes and should be left unchanged.