NEC Specialty | File a Claim

Claims Form

You can also report at claims@necspecialty.com.

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Phone

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NAME / CONTACT OF PERSON REPORTING*

INSURED NAME*

POLICY NO*

DATE OF LOSS*

CLAIMANT NAME*

LOSS LOCATION*

LOSS DESCRIPTION

INSURED CONTACT*

CLAIMANT CONTACT*

Claim Type

STANDARD NOTICE

RUSH

NOTICE ONLY

IN SUIT

Yes

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