Contact Us  |  April 25, 2017

Homeowners/Property Claim

To expedite the processing of your claim, please complete this notice with as much information as you have available.
Contact Information
Name: *
Daytime Phone Number: *
Fax Number:
Email:
Best Time to Call: *
Insured Information (for Business Customers only)
Company Name:
Address:
City:
State:
Zip Code:
Loss Information
Date of Loss: *
Loss Location: *
Police Contacted? * Yes  No
If so, Which Police Department?
Fire Department Contacted? Yes  No
If so, Which Fire Department?
Description of Damage:
Additional Comments
Please enter any additional comments you feel we need about this loss.
* = Required Field
You will be contacted by a representative of Marsh & McLennan Agency LLC (formerly Kinker-Eveleigh Insurance Agency) within 24 hours of our receipt of this form. If you do not hear from us, please call our office at (513) 248-4888. Please note that submission of this form does not constitute notice of a claim to either Marsh & McLennan Agency or your respective insurance company until confirmed by Marsh & McLennan Agency or your insurance company.