Report a Personal Liability Claim

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Liability occurs when you are legally responsible for damages or injuries to someone else or their property. A liability claim against your business will usually take the form of a lawsuit, naming your business as a defendant, asserting that your business has some kind of legal responsibility for a loss. Lawsuits require your serious and prompt attention, typically requiring a formal legal response within days of being received. Alternately, you may receive an informal demand (not a lawsuit) from another party for payment of damages that you caused them.

If you need to report a liability claim, some options are provided below:

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Claim Reporting Form

Let's identify the policyholder for this claim.

First Name *
Last Name *
Family Name (e.g. John & Jane Doe) *
Address *
City *
State *
Zip *


Who are you? We only accepts claims the policyholder or an authorized representative.

Your Relationship to the Policyholder *
Your First Name *
Your Last Name *
Your Email *
Your Phone *


Complaint Information

Has the policyholder been named in a lawsuit? *
When did the underlying incident occur? *
Where did the underlying incident occur? *
Name(s) of the complainant (the person who you allegedly harmed) *
What event(s) occurred that led to this claim? *

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