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113 West Gambier Street  •   Mt Vernon  OH  43050
(740) 397-7676   •  Fax: (740) 397-6969

   
On-Line Service Center

Homeowners Insurance--Report a Claim
Please note: Submitting a claim at this web site does not confirm coverage
or authorize payment. A claims representative will verify coverage and contact you to complete the claims process.
Policy Number:
Your Name:
Contact Person:
Whom should the adjuster call to settle your claim?
Name:
Home Phone:
Work Phone:
E-Mail:
Best time to call:
Authority Contacted:
Police/Fire dept:
Report number:
Claim Information:
Date of loss:
Location of claim:
Cause of loss:
Describe Your Damages/Loss:
Emergency services needed: Temporary Shelter Required? Yes  No
Windows Required Boardup? Yes  No
Other?:                  
Persons Injured:
Name/address
Phone number:
Nature of injuries:
Cause of injuries:
Comments and/or Other Information:
               
If you have not received a response from us within one business day, please contact us again.  Thank you. 


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W. S. Hogg Insurance Agency 
113 West Gambier Street
Mt Vernon, OH 43050 
Phone:  (740) 397-7676
Fax: (740) 397-6969 

Copyright © W. S. Hogg Insurance Agency, 2003
wshogg@wshogg.com