Town & Country Insurance Services | Report a Homeowners Claim

Report a Homeowner Insurance Claim

Please note that reporting a claim from this website does not confirm coverage or authorize payment. An agency representative will verify your coverage and contact you to complete the claims process.

If this claim involves more than two people, please contact our agency directly to report it.

Policy Number
Name on Policy
Contact Information

Who should the claims adjuster contact regarding repairs?
Name*
Email Address*
Home Telephone
Work Telephone
Best time to call you
Authority Contacted
Police or Fire Department
Report Number
Claim Information
Date of Loss
Date Format: MM slash DD slash YYYY
Location of Loss
Cause of Loss
Describe the damage to your property
Temporary shelter required?
Windows required board-up?
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
Comment
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Email
This field is for validation purposes and should be left unchanged.

Homeowners Claim

Report a Homeowner Insurance Claim

Contact Information

Authority Contacted

Claim Information

Injuries

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