Submit a Claim

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Submit a Claim

Submitting 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
Suites 200 & 300
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

Report New Claim

"*" indicates required fields

Step 1 of 8

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.

The partnership you want, the advantage you need.