AmRisc, LLC
REPORT A CLAIM
Please complete and submit the form below. You will receive an acknowledgement from AmRisc within 72 hours.
*If you are a unit owner, report your issue to your Condominiums Owner’s Association or Property Manager.
 
AccountID or Policy Number:
 
Named Insured:
 
Date of Loss:
 
Loss Type:
 
Loss Description:

Severity (Preliminary Estimate Only):

Producer Contact
 
  
Name:
 
 
 
Phone:
 
 
  
Email:
 
 
  
Confirm Email:
 
 
Insured Contact
 
Name:
Phone:
 
Email:
 
Confirm Email:

Location Information
Name:
Street Address:
City:
State Abbreviation:
ZipCode:
 

Attachments
Select Attachments (optional):

 

Any Person who knowingly and with intent to defraud any insurance company or another person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and (NY: Substantial) civil penalties.  (Not applicable in CO, HI, NE, OH, OK, OR, or VT; or DC, LA, ME, TN and VA, insurance benefits may also be denied.)

 
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