Report A Claim

Because filing a claim can be a difficult or stressful experience, our claims team is available
24 / 7 in order assist you in your time of need. Within 24 hours of receiving your claim, a qualified representative will contact you to further explain the claims process. We have provided three easy ways to file a claim.


  1. Contact your insurance agent, OR
  2. Call our toll free claim number 1-866-482-5246, OR
  3. Fill out the form below and click “Report This Claim”

Reported By (Name):

Loss Information

Loss Type Loss Date Loss Severity

Loss Location
Address1 Address2
City State Zip

Loss Description

(No more than 100 characters please)

Policy Information

Insured Name State Policy Number

Contact Information


Who To Contact
Phone 1 Phone 2
Phone 3 e-Mail



Your privacy is important to us.  Please click HERE to download a copy of our Privacy Notice.



In Florida, Any person who knowingly and with the intent to injure, defraud, or deceive any insurance company files a statement of claim containing any false, incomplete or misleading information is guilty of a felony.

In New York, Any person who knowingly and with intent to defraud any insurance company or another person, files a statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact, material thereto, commits a fraudulent insurance act, which is a crime, subject to criminal prosecution subject to criminal prosecution and substantial civil penalties.


(c) Cabrillo Coastal General Insurance Agency, Inc., A Florida Corporation, all rights reserved. FL License #P235207. This is a proprietary system for exclusive use by Cabrillo Coastal General Insurance Agency, Inc., contracted brokers, representatives, and affiliates. Unauthorized use of this site and any of its contents is expressly forbidden and may be subject to criminal prosecution.
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