Report A Claim Online

Step 1 of 3

Please fill in all applicable fields. Once completed, please click Submit at the end of this form. A claims representative will contact you shortly.

For emergency claims requiring immediate attention occurring after hours (evenings, weekends or holidays) please contact a Cumberland Representative by telephone at 856-451-4050 option 3.

Type of Claim(Required)

Auto Accident or Vehicle Damage

Property Damage or Theft

Injury or Liability

Workers Compensation

Policy Information

Name of Person Reporting Claim(Required)

First Last

What is your relationship to the policy?(Required)

Policyholder

Agent

Other

Other:

Is this policy name a business entity?

Yes

Policyholder Name

First Last

Business Name(Required)

Policy Number(Required)

The policy number contains alphanumeric characters. (ex. HO12345P2026, BOP7890P2025, CD1234567)

Contact Information

Is the individual reporting the claim the primary contact?(Required)

Yes

Primary Contact Name(Required)

First Last

Primary Contact Phone Number(Required)

Mobile preferred

Type of Primary Contact Phone Number

Mobile

Home

Primary Contact Email Address(Required)

Do you want to add a secondary contact?

Yes

Secondary Contact Name

First Last

Secondary Contact Phone Number

Type of Secondary Contact Phone Number

Mobile

Home

Secondary Contact Email

Name of Mortgage Company

Name of Lender

Fraud Statements

Fraud Warning

Important

Insurance fraud is a crime. I understand that knowingly submitting false, incomplete, or misleading information in connection with this claim may subject me to criminal and civil penalties under applicable state law.

Applicable State Fraud Notice:

Report A Claim

Policy Information

Incident/Loss Information

Contact Information

Fraud Statements

Fraud Warning

Select a state