Report A New Claim

If you have a claim number, please contact our customer service department at (718) 937-2010, dial 0 when listening to the menu, 9:30 am-6 pm. If no, please complete the following: You can be best described as : [select Youcanbebestdescribedas class:country \"Insured\" \"Driver\" \"Claimant\" \"Other\" ] Other:* Your First Name:* Your Last Name: Contact #:* Your email:* Insured\'s Name : Please enter one of the following:* [select* Pleaseenteroneofthefollowing \"Policy Number#\" \"Driver\'s Name\" \"VIN\"] Date of Accident :