To report a claim, please provide as much information as possible in the following several short steps. You will have an opportunity to attach any photos, police reports, or other documents at the end of the form.

All information on this page is required to move forward to the next steps of the claim process Asterisk indicates required information

Your Information

Please type in your first name
Please type in your last name
Not a valid email. For example john.doe@yahoo.com
Not a valid phone number
Please indicate your involvment in the claim

 

 

Attach Documents

Click below to attach your documents (photos, police report, or other files)

Attach a file

Additional Comments or Information

   
Thank you for submitting your claim online.

You will receive a confirmation email that we have received it, and your claim will receive our immediate attention.

(If you do not receive a confirmation email, please notify us immediately via email at ccs@criterionclaim.com)

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