Multinational Loss Status Report
To receive an update on a previously reported claim, please enter the following information
* indicates required field
I. Requester Information

Your Name: Email Address:*
Company Name: Phone Number:
Country Requesting From:
* Required in order to send confirmation that your loss has been received.

II. Loss Information

Policy Number: Reference Number:
Insured Name: Date of Loss:
Type of Loss: Personal Property Personal Liability Commercial Property Commercial Liability Other
If Other, please explain:

III. Your Question(s):



Your request will be processed promptly. Thank you.

 
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