Skip to main content
Daniels-Head Insurance Agency
Search
Get An Estimate
Insurance Coverages
About Us
Overview
What We Do
Our Company
Contact Us
Learning Center
Overview
Info Papers
Blog
CLE Webinars
Lawyers MBA
Podcast
Frequently Asked Questions
Insurance Glossary
Customer Request
Search
Customer Request
Required Fields
*
First Name
*
Last Name
*
Company Name
*
Type of Business
*
Please Select
Law Firm
Insurance Agency
Title Agency / Real Estate Agency
Accounting
Other
State/Region
*
Email
*
Phone Number
*
I'm interested in:
*
Have My Agent Contact Me
Request Policy Documents
Certificate of Insurance
Report a Claim
*Claims must be reported directly to the insurance carrier.
Please contact your carrier directly immediately to report any claims or potential claims. If you need your carrier and/or policy information in order to do so, please select what information you need to report your matter to the carrier.
Policy Number and/or Copy of Policy
Carrier Claims Reporting Guidelines and Contact Information
Additional Comment
Provide any helpful information related to your request here.
Preferred Method of Contact
If you have a preference of day/time for a phone call, please note this in the Additional Comment section above.
Please Select
Email
Phone
Fax
Comments
This field is for validation purposes and should be left unchanged.
Δ