If you wish to have our agency take over the servicing of an existing policy please copy and paste the letter below to your company letterhead. If individual policies, please enter your Name, Address, City, State and Zip. Please note to replace date and list insurance companies and policy numbers you wish to have us assume. Once completed and signed, mail or fax the form to us
To report a claim,
locate the company your policy is placed with and report the claim
via the phone number shown below. If your carrier does not have a
number listed scroll down for claim forms that can be submitted
online. Please don't hesitate to give us a call at (541)672-4466,
and we would be happy to handle the claim reporting for you and
answer any questions you might have.