Report a claim

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Report a Claim

First Name:

Last Name:

Business Name (if applicable):

Policy Number:

Phone:

Email:

Date of Loss:

What Was Lost:

Value of Loss:

Type of Loss:

Describe What Happened:

I acknowledge that I have read and understand the below disclaimer:

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Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

Please note that no coverage will be bound and no changes made on any policy without a written "Confirmation of Insurance", Binder, Endorsement or Reinstatement from Collectibles Insurance Services. Coverage cannot be assumed if you do not receive one of the aforementioned notices.

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Report a claim

Report a Claim

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