Tuttle & Traina Insurance Agency, Inc.

Surety & Insurance Services

Richard C. Traina

William B. Tuttle

Thomas D. Moylan

Raoul Cormier
44 Main Street, Post Office Box 489, Sterling, MA 01564
Phone: (978) 422-7700    Fax: (978) 422-8106

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On-line Homeowners' Claim Reporting Form

If you need immediate assistance and would like to speak to a Customer Service Representative,
please call (978) 422-7709 or click the button below for

Property Claim Telephone Worksheet

 
Contact Information
Last Name   
First Name   
Daytime Phone   
E-Mail Address   
Policy Holder Information
Policy Number   
Policy Holder - Name   
Policy Holder - Phone   
Policy Holder - Address   
Policy Holder - City   
Policy Holder - State      Zip Code
Loss Information
Date of Loss    / /
Loss Location - Address   
Loss Location - City   
Loss Location - State      Zip Code
Type of Loss   
Brief Description of Loss:
Police/Fire Contacted    Yes     No
Police/Fire Report Number   
Police/Fire Department Name   
Did Injuries Result from Accident    Yes     No
If "Yes" to above, please provide:
Name, Address, Phone Number, and Extent of Injuries of those Injured.
Fraud Warning
Any person who, with the intent to defraud or deceive, submits an application or files a statement of claim containing any false, incomplete or misleading information, or helps in any manner to commit a fraud against an insurer, may be subject to civil penalties and criminal prosecution for insurance fraud.

A Customer Service Representative will contact you.