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First Name

Last Name

Policy Number

Phone (Primary)

Example: 123-456-7890 or 1234567890

Phone (alternate) (Optional)

Example: 123-456-7890 or 1234567890

Make

Model

Year

Name

Current Location

Date of Loss

Description of Loss

Were there any serious injuries or death?

If yes, please explain:

Is the vessel currently at a repair facility?

If yes, please provide the facility's name, address, and phone:

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First Name

Last Name

Coverage State

Phone Number

Email Address

Preferred Contact Method

Phone

How may we help? (Optional)

Insurance products and services offered through McGriff Insurance Services, LLC, a subsidiary of Truist Insurance Holdings, Inc., are not a deposit, not FDIC insured, not guaranteed by a bank, not insured by any federal government agency and may go down in value.

McGriff Insurance Services, LLC. CA License #0C64544

ABC File a Claim

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