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RENEWABLE GUARD INSURANCE COVERAGE
FILE A CLAIM
Claim Details
Company Name
(Required)
Date of Loss
(Required)
MM slash DD slash YYYY
Nature of Claim
(Required)
Choose one
Property
Liability
Professional / D&O Executive Liability
Description of Incident
Please describe the circumstances and, if known, cause(s) of the loss(es). Please attach photos if possible.
Upload Photos Here
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Max. file size: 20 MB.
Estimate Claim
Please enter the approximate value of the claim.
Mitigation Measures Taken
Please describe the mitigation measures you have taken.
Contact Details at Site
Please provide the name, phone number, and email address of appropriate contact person at site.
Contact Name
First
Last
Contact Phone Number
Contact Email
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Date
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