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CLAIM ASSISTANCE


1. Report your claim to Fairmont Insurance. We then, in turn, forward the claim report directly to your carrier.

2. A claims adjuster from your insurance company will contact you.

3. It is important that you submit as much written documentation as possible to the company adjustor to substantiate your claim.

4. Our Claims Department representatives is here to help you! We monitor all claims regularly and are always available to provide guidance to you for dealing with the insurance company's personnel and to advocate on your behalf.

5. Once you and the company adjuster have agreed on the extent of compensation, you will be asked to sign a Proof of Loss form. Generall, you will receive a check within 2 weeks of the company having received your signed Proof of Loss.




Please choose from the following claim forms:


Basic Claim Form

Before completing the form, please read the instructions below.

Instructions for Reporting a Claim Online

-Please note that the submission of the form does not initiate or alter any of the conditions of your insurance placed with Fairmont Insurance. Completing this form does not constitute reporting a claim unless you receive confirmation from our Claims Department that your claim was received. Shortly after the submission of this form, a Claims Department representative will contact via phone or e-mail regarding the loss or claim and will provide you with such confirmation. If you do not receive confirmation via phone or e-mail within 1 business day, please call our Claims Department at (718)232-3300.

Company Name :
First Name* :
Last Name*
Title :
Phone Number*
Fax Number*
Your E-mail Address:
Best time to reach contact you:
Date of Loss*
Brief Description of the Loss:*
Additional Comment field
By clicking the "Submit Claim" button you confirm that you have read the instructions above and assert that all information provided in this form to us is to the best of your knowledge, true and correct.
 


 
 
 
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