Berkley Agribusiness

Report A Claim

To contact the Berkley Agribusiness Claims Department:

Phone: (866) 382-7314
Fax: (866) 342-0630
Email: [email protected]


To report a claim, complete the form below. Please note, items marked * indicates a required field.

ATTENTION CALIFORNIA RESIDENTS: Please see our California Consumer Protection Act Pre-Disclosure Notice

Person Reporting Claim
First Name *
Last Name *
Email *
Phone Number *
Alternate Phone Number

Contact Information
 Check if same as Person Reporting a Claim
First Name  
Last Name  
Email  
Phone Number
Alternate Phone Number

Insured Information
Policy Number  
Insured Name *
Street Address  
City *
State  
Zip Code  

Claim Information
Type of Claim *
Date of Loss *
Loss Description *
Loss Location  
Please indicate if known:    
     

Auto Information
Year
Make
Model
Injuries Sustained
   

Claimant Information
First Name
Last Name
Address
City
State
Zip Code
Phone Number
Date of Birth
Last Day Worked
Is Claimant still off work?
Describe the injury
Type of Loss

Healthcare Information
Name of Provider
Street Address
City
State
Zip Code
Phone Number

Additional Information
Additional Information
Attachments (3 MB per file/15 MB total/5 file limit)

Disclaimer
DISCLAIMER: Submission of your claim does not commit your insurance company or its affiliates and agents to coverage for any loss. All information submitted regarding your insurance policy and the losses is subject to review and verification. Berkley Agribusiness and its affiliates reserve the right to request additional information prior to reaching a decision on the claim. A claim representative will be contacting you regarding your claim. All policy provisions in your policy remain in effect, and nothing contained in this website maybe construed as waiving any of the terms and conditions of your policy.

*

Please enter the phrase below and click Submit to send your claim.