Claims

Report a property or liability claim.

Send the details to E&A Insurance Group as soon as possible so we can help file the claim with your carrier.

For emergencies, call 911 first. Complete this report for any business claim that is not workers’ compensation. Fill in what you know and leave the rest blank. Fields marked with * are required.

Getting started

Fire or smoke

Water damage or sewer backup

Storm, wind, or hail

Theft, break-in, or vandalism

Equipment breakdown or food spoilage

Customer or guest injured

Damage to someone else’s property

Vehicle accident

Other claim type

Was anyone hurt? *

Were the police or fire department called? *

Is the business still open? *

Your information

Business name *

Your name *

Phone *

Email *

What happened

Date it happened *

Time

Address where it happened, if different from business

Tell us what happened *

What was damaged? *

Estimated cost

A best guess is fine.

Police or fire report number, if any

Witness name and phone, if any

Do you have photos or video? *

If someone was hurtSkip this section if no one was injured.

Injured person’s name

Their phone

What were their injuries?

Did they get medical treatment or an ambulance?

Was alcohol involved?

Anything else?

Anything else we should know

Submitted by

Submitted by name *

Date *