Submit a Claim

Report Your Claim Online

To report your claims online, simply fill out the online form below.

Once you complete the claim report we will send you a confirmation email. A third party claim examiner will call you within 48 hours to explain the next steps and confirm the details. This examiner will also be able to answer any questions you may have.

For your protection, this information is provided as required by applicable State and Federal law.  Any person who knowingly presents false, fraudulent, misleading, incomplete or misleading facts or information or aids, abets, solicits or conspires with any person to do so, for the purpose of obtaining insurance coverage,  amending insurance coverage, seeking insurance benefits or to make a claim for the payment of a loss, is unlawful and is guilty of a crime and may be subject to fines and confinement in state or federal prison.

"*" indicates required fields

Step 1 of 5

Today's Date*
Date of Loss*

Report by Email, Mail, or Fax

To report a claim of any type by email, mail, or fax, please download and fill out our claim form below.

Download Claim Form

Email to:

Mail to:  2244 Faraday Ave #126 Carlsbad, CA 92008

Fax to:  (866) 531-1064