Report a Claim

NeitClem Wholesale and Insurance Brokerage — Claim Report Form

Fields marked with * are required. Providing complete and accurate information will help us process your claim as quickly as possible.

Policyholder / Insured Information

Loss / Incident Information

Additional Information


Claims Contact

(323) 258-2600
Mon–Fri, 8:30 AM – 5:00 PM

What to Expect

  • Confirmation email sent immediately
  • Claims team reviews your submission
  • A representative will contact you within 1 business day
  • Keep your confirmation number for reference

Tips for Filing

  • Report the claim as soon as possible
  • Have your policy number ready
  • Document the loss with photos if possible
  • Gather names and contact info for any witnesses
  • Keep any receipts or estimates related to the loss

Submitting Your Claim

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NeitClem Wholesale and Insurance Brokerage