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Claims Reporting Forms

Transportation Loss Notice

Use this form to report an auto claim. The transportation loss notice needs to be completed when an auto accident or when damage to the customer’s physical building or residential property during move occurs (i.e. damage caused to carpet/hardwood floor, driveway, stairway, wall, lawn, etc.)
Transportation Loss Notice

Presentation of Loss and Damage Form

This form is designed to be filled out and emailed. The Presentation of Loss and Damage Form needs to be completed when an Inland Marine Cargo/Warehouse Legal Liability Loss has occurred. In addition to this completed claim form, we will need: A copy of both front/back sides of the Bill of Lading and Warehouse Receipt and Inventory involved in the loss.

Please fax to 707-252-5905 or email: claims@paulhanson.com.

Presentation of Loss and Damage Form

Business Property Claims Reporting Form

To report a claim for loss to Business Personal Property or to Real Property or to Mover’s Equipment or for loss of business income, complete this form and submit to our office. Business Property Claims Reporting Form

General Liability Claims Reporting Form

This form gives you the ability to report a General Liability claim.
General Liability Claim Reporting Form

Workers' Compensation Claims Reporting

Zurich has developed a short video tutorial on how to report workers compensation claims using their online web portal.

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AmTrust Claims Reporting

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