Property damage claim form

How to complete this form

  • Please fill in the requested details below and attach the required documentation
  • A QBE claim representative will typically contact you in 1 to 2 business days.

If this is an emergency or if you prefer to report your claim by telephone, please call 844.723.2524 (844-QBE-CLAIMS)

Person reporting the claim
Please select your relation to the insured.
Insured's details (Policyholder)

Person(s) or entity listed as the “named insured” on the insurance policy.

Contact information
Circumstances of loss/damage
Please specify AM or PM
If checked, proceed to "Other information"
Other information
Enclosures

Important notice

The issue of this claim form is not an admission of liability or coverage by QBE Insurance.