Walock-Johnson Insurance, Inc. :: Report a Homeowners Claim

Report a Homeowners Insurance Claim

Please note that submitting a claim from this website does not confirm coverage or authorize payment. An agency representative will verify your coverage and contact you to complete the claims process.

Policy Number

(if you know it)

Name on Policy

Contact Information

Name

Email Address

REQUIRED

Home Telephone

Work Telephone

Best time to call you

Authority Contacted

Police or Fire Department

Report Number

Claim Information

Date of Loss

Location of Loss

Cause of Loss

Describe the damage to your property

Temporary shelter required?

Yes No

Windows required board-up?

Yes No

Injuries

If more than two people are involved, please contact our agency directly to report the claim.

Information about person injured:

Name

Address

Telephone Number

Nature of injuries

Cause of injuries

Information about person injured:

Name

Address

Telephone Number

Nature of injuries

Cause of injuries

Comments

Rutland 701-724-6484		Lisbon 701-683-5253		Milnor 701-427-5215		Gwinner 701-678-2771