B.A. Professional
Providing Insurance & Financial Services
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File a Claim

Dear clients,

We are sorry to hear that you need to file a claim, but we promise you that we will personally work with you to settle it quickly and fairly. Inevitable things happen.... Yes , that is the reason why you have Insurance with us. Please complete the following information and click 'submit.' (
* is required field). You may also  simply contact your insurer directly or contact us.

If the claim is
LONG TERM CARE, LIFE, or ERRORS & OMISSION CLAIM, please contact us directly.
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When did it happen?
Month
Day Year Time
*Your Last Name
*Your First Name
*Your Policy Number
Police Report Number Police name and Station Number
Your Insurance Carrier
Other Carrier
*Type of Claim
Home Owner's Insurance
Auto Insurance
Condo Unit Owner's Insurance
Commercial Insurance
Worker's Compensation Insurance
Health Insurance
Life Insurance
Specialty Insurance
HOA Insurance
LTC Insurance
Other Insurance
*Where did it happen?
Address
*Ciry *Zip Code
*We need to contact you
*Phone:
- -
Business Phone
- -
Mobile Phone
- -
Email
Varify Email:
*Preferred Contact Method
        Email Business Phone Mobile Phone
*Preferred Contact Time
      Morning    Afternoon     Evening
Other Party Info
*Claim Details: Who, Where, What, When, Why, How