|All receipts, police reports,
and/or other relevant documents/photographs should be faxed without delay using the
fax number shown below. Or, if available in electronic format, please click here to attach to an e-mail. Please
include the Insured Name, Policy Number, and Date of Loss in the Email.
Retain all originals as they may be requested.
Once you have completed
this form and e-mailed electronic documentation, press the 'Submit Loss For