Report a Claim

Reporting your claim to Admiral is easy. We offer the following methods to submit a claim: online form, email, fax, or mail.

Mail
Admiral Insurance
232 Strawbridge Drive
Moorestown, NJ 08057

Attention: New Claim
*Clearly state it is a “NEW CLAIM”

Email
[email protected]
Please do not email individual employees

Fax – 856-429-3630
Attention: New Claim
*Clearly state it is a “NEW CLAIM”

Report a New Claim

"*" indicates required fields

Step 1 of 7

Agency Name*

Agency Address

Street Address Address Line 2 City State ZIP Code

Company Name*

Policy Number*

Policy Effective Date*

Policy Expiration Date*

Each Occurence

Deductible

Previously Reported*

Yes

Date of Occurence*

Time of Occurence*

Date of Claim*

Insured Name*

Insured Address

Street Address Address Line 2 City State ZIP Code

Insured Business Phone*

Insured Residence Phone

Insured Cell Phone

Insured Email Address*

Contact Name*

Contact Address

Street Address Address Line 2 City State ZIP Code

Contact Business Phone*

Contact Residence Phone

Contact Cell Phone

Contact Email Address*

(1) Witness Name

(1) Witness Address

Street Address Address Line 2 City State ZIP Code

(1) Witness Contact Phone

(2) Witness Name

(2) Witness Address

Street Address Address Line 2 City State ZIP Code

(2) Witness Contact Phone

Attention California Residents

Please view our California CCPA Notice regarding the collection of personal information as well as our Privacy Notice.

Report a New Claim

Attention California Residents

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