Report a Homeowners or Commercial Property Claim

Use the form below to report a homeowners or commercial property claim to The Main Street America Group. If your claim involves damage to someone else's property or injuries, please call our Customer Care Unit 24 hours a day at (877) 425-2467.

Fields marked with a red asterisk (*) are required.

Insured information
Policy Number
Name*
Address 1*
Address 2
City*		State*	Select here ALABAMA ALASKA ALBERTA ALL OTHER ARIZONA ARKANSAS BRITISH COLUMBIA CALIFORNIA COLORADO CONNECTICUT DELAWARE DIST. OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MANITOBA MARYLAND MASSACHUSETTS MEXICO MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW BRUNSWICK NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NEWFOUNDLAND NORTH CAROLINA NORTH DAKOTA NORTHWEST TERR NOVIA SCOTIA OHIO OKLAHOMA ONTARIO OREGON PENNSYLVANIA PRINCE EDW ISLAND PUERTO RICO QUEBEC RHODE ISLAND SASKATCHEWAN SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING YUKON TERRITORY
Zip Code*
Contact information
Name*
Contact phone number (e.g., 3215551212)*		Contact phone extension
Work phone number		Work phone extension
E-mail address*
Incident details
When did the incident occur?*
What time did the incident occur?	You may enter a 12- or 24-hour time with or without AM or PM (e.g., 12:30 or 2:15 PM).
Where did the incident occur?
Address*
City*		State*	Select here ALABAMA ALASKA ALBERTA ALL OTHER ARIZONA ARKANSAS BRITISH COLUMBIA CALIFORNIA COLORADO CONNECTICUT DELAWARE DIST. OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MANITOBA MARYLAND MASSACHUSETTS MEXICO MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW BRUNSWICK NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NEWFOUNDLAND NORTH CAROLINA NORTH DAKOTA NORTHWEST TERR NOVIA SCOTIA OHIO OKLAHOMA ONTARIO OREGON PENNSYLVANIA PRINCE EDW ISLAND PUERTO RICO QUEBEC RHODE ISLAND SASKATCHEWAN SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING YUKON TERRITORY
Were police/fire at the scene?	Yes No
Description of incident and damage: