Claims - Town & Country Mutual Insurance Company

Report a Claim

You may fill out the form below to notify us about a new claim or if you would rather talk to someone in person, please call 1-866-778-3555

PERSONAL INFORMATION
Name of Policyholder/Insured*
Address
Street Address
Address Line 2
City
Province / State / Region
Postal Code / Zip
Country
Home Phone
Cell Phone
Phone
Best Number to be reached at:*
Email Address
INSURANCE INFORMATION
Policy Number
Agent Broker
Type of Loss*
Location of Loss*
Details Regarding the Loss*
Other Remarks
Website
Single Line Text Title
Website
Website
Single Line Text Title
Price
$
Dollars
.
Cent
File Upload

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