Flood loss claim report

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Use this form if:

We’re here to help you every step of the way.

Some items not covered through your Flood policy may include:

  • Wind damage
  • Broken or frozen pipes
  • Appliance leak
  • Roof damage
  • Water Backup/Sewer Backup

These items may be covered by your homeowners policy, and you will need to file a separate claim for these types of water damages. Water damage to a vehicle should be filed as a separate auto claim. You can report a homeowner or auto claim on My Account.

Indicates required information(*).

Your information:

Name of primary policyholder *
Primary mailing mddress *
City *
State *
Zip *
Primary phone # * Ext
Secondary phone # Ext
Policy number  
Email address *
Can we email you your claim number?
Language preference

Other Language Preference
Street or physical address of damaged property *
City *
State *
Zip *
When did water enter your home?
Month *
Day *
Year *
Time *
Please give a brief description of damage *
What is the source of the water? *
Answer to the best of your ability.
How deep is/was the water? * Your best estimate.
How long was the water in your home? * Your best estimate from when the water entered your home.

Important notice: This e-mail form uses a Secure Socket Layer (SSL) protocol to help safeguard the information you submit.