ASI Watermark

eporting your claim online provides us with prompt notification of your situation. You can feel confident that your information is reported to us in real-time and know that our dedicated claims team is on standby to help you when you need us the most.

Before you begin, you will need the following information available to complete your claim report:

  • Your Policy Number
  • Date of Loss
  • Your Address
  • Your Contact Numbers
  • Secondary contact name and telephone number

Once you have answered all the required fields click the "Submit" button at the bottom of the form. A Claims Representative will contact you on or by the following business day.

Policy Number:*
Date of Loss:*
Last Name:*
First Name:*
Street Address of Loss:*
City:*
State:*
Zip Code:*
E-Mail:*
Home Phone:
Work Phone:
Cell Phone(s): Second Phone:
Alternate Contact:
Alt. Contact Phone:
Brief Description of your Loss / Damage:*
*Indicates Required Field.