Email: LMCanadaClaims@libertymutual.com
Phone: 1.800.461.5079
Fax: 416.307.4672
When reporting a claim, please provide the following information:
Name*:
Please leave this field empty.
Descriptor: Insured employeeBrokerAgentClaimantThird-partyOther
Phone number*:
Email*:
Name of insured (i.e. Company name)*:
The insured contact (if different from above):
Insured phone number (if different from above):
Insured email (if different from above):
Policy number*:
Date of loss:
Loss location:
Description of claim:
Is this an auto claim?* YesNo
Name:
Phone number:
Driver's licence number:
Licence plate number:
Address:
Vehicle year:
Vehicle make:
Vehicle model:
Third party name:
Third party phone number:
Third party driver's licence number:
Third party licence plate number:
Third party vehicle year:
Third party vehicle make:
Third party vehicle model:
Third party insurance company name and policy number:
Were there any injuries? YesNo
Was this reported to the police? YesNo
Additional information:
Upload any documentation: Browse
