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Report a Claim

You can either report a claim directly to us or to your insurance company. If you would like to report an automobile claim directly to us, please contact us at
 
Farquhar & Black Insurance Agency
85 Exchange Street
Lynn, MA 01901
Ph: 781.599.2200
 
Or simply fill in the form below and press the Submit button to submit information to receive a quote on auto insurance. We will be happy to get back to you soon. Your information will be submitted to our secure server. Your privacy is important to us. Please see our privacy policy for more information.
 

Business Notice of Claim

No coverage is bound until you are contacted by one of our representatives

General Information
Name
Street Address
Street Address
City, State, Zip
Phone Number(s) Home Work
Email
Policy Number
Insured Name, if different
Loss Details
Date of loss
Location of loss
Type of loss
Estimated total value of loss
Reported to Police or Fire Dept?
If yes, name of Dept
If yes, report number
Description of loss and/or damage

 
 
  Security Code : 


Licensed in MA, ME, NH, and NY

info@FandBInsurance.com
85 Exchange Street • Lynn, MA 01901 • Ph. 781.599.2200


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