Transportation: On-Line Claims: Cargo Loss Report

On-Line Cargo Loss Report

Please complete the form below, then click on the "Submit" button to send to the Claims Department.

Date of Report:
Date of Loss:
Insured Company Name:
Phone Number:
Policy Number:
Contact Name:
Location of Loss:
Cause of Loss:
Description of Cargo:
Driver of Vehicle:
Address of Driver:
Type of Vehicle With Load:
Remarks:
Your Email Address:

Click on the "Submit" button to send the above information to the Claims department.


Contacts

Contact Frank Ricica via email at ricicaf@roemer-insurance.com or call 1-800-462-1993 if you have any questions.

 

 

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