Homeowner's Insurance - Report A Claim

Reporting a claim at this website does not confirm coverage or authorize payment.  We will contact you personally to review your claim.

Policy Number:
Your Name:
Contact Person:
Whom should we call to settle your claim?

Name:                     
Phone:
                         
Work Phone:           

Cell Phone:             

Best Time to Call:    

Email:
                            

Claim Information:
Date of loss:
Location of claim:
Cause of loss:
Authority that you contacted:
Police/Fire dept:
Report number:
Describe Your Damages/Loss:
Injured Persons:
Name:
Address:
Phone number:
Nature of injuries:
Cause of injuries:
Other Information:

We will contact you personally within one business day.  If you have not heard from us please call our office.

 

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  Stahl Stoller Meyer Insurance Center: Paulding Location: 419-399-3777 • Van Wert Location: 419-232-4776

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