Report a Claim


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*Company Name:
*Contact Name:
*Contact Phone Number:
*Contact Email:
*Date of Claim:
*Description of Claim:

I affirm I have submitted information correctly to the best of my knowledge. I consent to have Citadel Insurance Services submit my claim information to the insurance carrier. I understand and agree that the insurance company will rely on my statements in this form. I understand that submitting a claim does not guarantee any coverage or defense from the insurance carrier for such claims.

Report your Claim with Confidence:

Fill out our form or give us a call to report your claim.

If we can help you over the phone give us call or send a fax.

  • Phone: 1-647-426-3778
  • Fax: 1-801-610-2701