
Claims
Our Claims Philosophy
Since protection of our insured's business and personal assets is the main reason
for purchasing insurance, our agency consistently makes the utmost effort to provide
our clients with assistance and guidance in the handling and processing of claims.
Please allow our website to assist you in the immediate reporting of claims. Choose
from the following categories of claim forms and information kits:
Claims Reporting Recommended Procedures and Forms
Automobile Claims

An auto accident fact kit is a very comprehensive format which should assist your
driver in the event of an automobile accident. Keep a copy in the glove compartment
at all times as a quick reference in any automobile emergency.
An MV 104 form is the New York State Dept. of Motor Vehicles Report. Kindly have
the driver complete the entire form, paying particular attention to the "how did the
accident happen?" portion.
Property Claims

Commercial or Personal property claims can be promptly reported with the information on the
Property Loss Notice. An
Emergency Tips information sheet is attached
for your convenience, as a quick reference tool.
Liability Claims

A General
Liability Claim Report form will provide you with guidelines for providing data which
should be considered in a potential liability situation.
Workers Compensation Claims

New York State compensation claims, relating to injuries incurred within the scope of
one's employment, should be promptly reported by all employers on a
C-2 form.
Disability Claims

A DB450 form should be used to report
claims for the lost time incurred by employees due to a medical condition not related to their
employment.
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