Claims form First Name*: Last Name*: Mailing Address: Province: —Please choose an option—AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandSaskatchewanQuebec Postal Code: Phone Number*: Email*: Your Broker: Insurance Policy Number*: Loss description: Please select the day and time you are submitting this claim*: —Please choose an option—Weekday (8:30AM-4:30PM)Weekday (4:30PM-8:30PM) & Weekends 24/7