Homeowners Insurance — Report a Claim
Please note that submitting a claim from this web site does
not
confirm coverage or authorize payment. A customer service representative at Suburban Insurance will verify your coverage and contact you to complete the claims process.
Policy Number (if you know it)
Name on Policy
Contact Information
Name
Home Telephone
Work Telephone
Email
required to submit form
Best time to call you
Authority Contacted
Police or Fire Department
Report Number
Claim Information
Date of Loss
Location of Loss
Cause of Loss
Fire
Hail
Lightning
Smoke
Theft
Vandalism
Vehicle
Water
Wind
Other--describe below
Describe the damage to your property
Temporary shelter required?
Yes
No
Windows required board-up?
Yes
No
Injuries
Reminder: If more than two people are involved, please
contact
our agency directly to report the claim.
Information about person injured:
Name
Address
Telephone Number
Nature of injuries
Cause of injuries
Information about person injured:
Name
Address
Telephone Number
Nature of injuries
Cause of injuries
Comments and/or other information
