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Commercial/Business

Business Claim Type(Required)

Business Name(Required)

Name(Required)

Phone(Required)

Email(Required)

Best method to confirm receipt(Required)

Date(Required)

Location of Accident(Required)

Date of Loss(Required)

Address of Loss:(Required)

Date of claim

Is this property damage or Bodily Injury?

Property

Bodily

Driver(Required)

Yr Make Model and last 6 of Vin of vehicle

Description of accident and please include information you may have on other party(Required)

Description of Damage

Police Report #

Claimant (person or company alleging damages or injuries):

Was your vessel involved and if so please describe

Claimant Contact Information:

Description of Claim

Description of claim being alleged:

Describe claim details and include involved parties’ information

Other Comments

Where is your damage?

Where can vehicle be seen?

Please do not report Workers Compensation claims on this website. For the quickest response, please call your carrier directly.

Personal

The following carriers prefer insureds contact them directly for claims: ASI, Narragansett Bay, Olympus, Progressive or UPC.
Please see our list of carrier numbers.