Charles River Insurance: Welcome

5 Whittier Street, Framingham, MA 01701
Main: 508.656.1400, Fax: 508.656.1499
Hours of Operation: M-F, 8:00 a.m. - 5:00 p.m. EST
Available weekends and nights by appointment
info@charlesriverinsurance.com

Report a Claim

	As our company grew, it was important to choose an insurance broker who had the knowledge and experience to provide complete, comprehensive insurance coverage for our specific needs. Charles River Insurance met all of these requirements. They are involved from the beginning stages of evaluating potential new building acquisitions to working with our lenders developing insurance solutions for each property’s unique risk. Working with Charles River Insurance continues to be one of our best business decisions.
	Brian Poitras, Principal Calare Properties, Inc.

Client Services

Property First Notice of Loss Report

The questions with asterisks (*) are required fields. We cannot process your claim without this information. If you do not have all of the information required for these fields, please call us at 508.656.1400. We are available to assist you from 8:00 am - 5:00 pm EST, Monday - Friday.

* Company Name:
* Policy #:
* Filing State:
* Preparer's Name:
* Email:
* Phone #:
* Date of Loss:
* Date Incident Was Reported to Insured:
* Location of Where Loss Occurred - Address:

* City:
* State:	* Zip:
Again, if all of the required fields above are not filled in, we cannot process your claim and you will need to call 508.656.1400.
Account #:
Location Code:
Policy Effective Date:
Company Address:

City:
State:	Zip:

Incident Information:

Time of Loss:	AM PM
How Did the Loss Occur and What was Damaged?:
Estimated Amount of Loss?
What Authorities Were Contacted?

If Person or Vehicle Caused Damage, Complete the Following:

Name of Person Who Caused Damage:
Address:

City:
State:	Zip:
Home Phone #:
Business Phone:
Vehicle Year, Make & Model:
License Plate #:	State:
Insurance Company Name:
Policy #:
Drivers License Number:	State:
Police Report #:

Coverage Information (if available, only what applies to loss):

Dwelling/Bldg.:
UPP Contents:
App Structure:
Rental Value:
Med Pay:
A. L. E.:
Ded Amt:	Ded Cov:
Ext Cov Ded:	Lib Ded:
Ded 1:	Ded 2:
%Coins:	Coins Lim:
Forms and Endorsements:
Mortgagee 1:
Mortgagee 2:
Other Insurance-Specify:
Contact Person for Additional Information:
Address:

City:
State:	Zip:
Phone:

For Inland/Ocean Marine & Motor Cargo:

Insured Interest (what is the cargo):
Actual Value of Cargo:
Name of Vessel, Truck or Carrier:
Comments:
IMPORTANT: Please take a moment to make sure, before hitting the SUBMIT button at the end of this form, that your entries are correct. You can do so by using the scroll bar to the right of this screen. Using the back button of your browser (because of varying browser configurations) may cause information to be lost.


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