A Partner You Can Rely On

Information On Other Parties


Please use the following section for identifying additional parties to the loss, such as eye-witnesses, police officers, attorneys, etc. (Not Required).



Agent Information



Policy Information

and Coverage Details


Insured Name and

Contact Information


Client Information/
Reporting Address

Claim Details & 
‚ÄčAssignment Type

Please provide as much information about the claim as possible.
Required fields are marked by the
* symbol.
If you do not have the information for a required field, please enter "unknown"

S&S Claims Service - Property Loss