Tools & Resources - Bertram & Barry Insurance Ltd.


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		Making A Claim
		– Overview – Auto Claim Report – Property Claim Report – Business Claim Report




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Tools & Resources

Making A Claim – Notice of Business Claim


Policy Holder Information
Policy Number:
Company Name:
Primary Contact Person:
Main Phone:
Work Phone:
Email:
Where should we contact you?
Best time to contact you?

Claim / Loss Information
Date of Loss or Accident:
Address:
City / Province:
Please provide as much detail as possible regarding the claim in the spece provided below. A reporesentative will contact you shortly. (Max 255 Words)
Police Contacted?	Yes No
Officer's Name:
Officer's Badge Number:
Report Number:
Did any injuries result from the Loss / Accident:	Yes No
If yes, please provide names, addresses, phone numbers and the extent of the injuries.
Name of your broker: