New Claim Form


New Client-Claim Form

Please take a moment to fill out this form. After this is submitted, a CIS staff member will email you your private Username and Password. From then on you will be able to monitor your claim including notes, pictures, documents and all communications. If you have any questions, please do not hesitate to contact CIS directly by calling 888-345-2700.



Insured's Information

Please fill out the following information.

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