Claim Reporting (for all islands)

Please enter your (person submitting claim) information in the following name, email, address, and phone fields and not claimant or insured information. Then enter information regarding the claim.

Company:
First Name:
Last Name:
Email :
Address1:
Address2:
City:
State:
Zip Code:
Phone:
Direct:
Fax:
Insured:
Claimant:
DOL:
Loss Location:

WC	TDI
Vehicle Auto	General Liability
Commercial Property	Personal Property
Marine	Auto Appraisal

Requested Service

Additional Info to Follow by:

Email	Mail
Fax	None	Phone

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How to Report a Claim (for all islands)

At John Mullen & Company we have a centralized department for the handling of claims. Our Intake Unit is the initial entry for all new reports of injuries and new claims. We have a group of very enthusiastic and dedicated team members to provide an excellent product and excellent customer service to our clients.

Please use the provided WC-1 and type versus hand write.
All forms are available in the forms section of the web site.
 
Please report your claims for any island to the following numbers: