Page 1 of 3

Report a claim

If anyone is hurt or in danger, call 911 first.

Call your insurance company's claims line first. This form tells our office about your claim. It does not report the claim to your insurance company.

Any questions? Contact:
Email: hello@tinginsurance.com

Ting Insurance Services LLC
CA License #6019702

About you

Full name

*

Business name

If the policy is for a business.

Email

*

Phone

*

Insurance company

Policy number