Insured Person's Information
Insurance Provider*
Ocean Harbor Casualty
Lloyd's
Are You The Insured Person?*
Yes
No
Loss Information
Flood Information
Do You Have Flood Insurance?*
Yes
No
Unsure
Have You Reported A Claim To Your Flood Insurer?
Yes
No
Contact Information
Best Time of Day to Contact*
Morning
Afternoon
Evening

Although some fields aren’t required to submit your claim, including this information will be helpful in reducing the time it takes for the provider to follow up on your claim.