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    We work closely with our clients and their brokers to service claims efficiently and supportively.  Clients will often turn first to their broker in the event of a claim, particularly for Lloyd's policies.  If you have already contacted your broker, he or she will already be pursuing the claim on your behalf.  If you have not, we invite you to complete the following brief form.  We will ensure that your broker is informed of your communication.

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    Additional details of alleged events:

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    When reporting a claim or lawsuit, we often require further documentation from our insured during the investigation.

    Copy of summons and complaint or claim letter:

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    Copy of any engagement letter(s), if applicable:

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    Narrative summary explanation of client relationship, services provided, allegations made (Marked "Confidential" "Prepared in Anticipation of Litigation"):

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    STATE REQUIRED FRAUD WARNINGS
    ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT (S)HE IS FACILITATING A FRAUD AGAINST THE UNDERWRITER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT MAY BE GUILTY OF INSURANCE FRAUD.

    View all state specific fraud warnings.

    Please note: After clicking submit you will need to verify the information entered and click submit again to send your request.

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