(618) 997-1311
The Insurance House | Marion, IL
Since 1936
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Claim Form

You can now submit a claim 24 hours a day, 7 days a week through the online form below. Please provide as much information as possible so that we can best handle your loss. Please note that this loss notification is not binding until you receive confirmation back from our office that we have reviewed your request and have taken the appropriate actions.

Name
E-Mail
Day Telephone
Cell Phone
Evening Phone
Fax
Street Address
City
State
Zip Code
Type of Claim
Policy Number
Date/Time of Incident
Lost/Damaged Items
Your Claim:

Submission of claim form to this agency does not constitute a binding submission until you have been contacted by an agent.
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