New Claim Form


New 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.


IMPORTANT INFORMATION WHEN SUBMITTING A CLAIM

Please allow enough time for the form to upload before exiting the screen.
Upon receipt, we will enter the claim into our system and assign one of our Consultants to the file.
If you do not receive confirmation of the handling consultant within 1 business hour, please contact us at 888-345-2700.

Thank you!

Top