Property and Casualty Online Claim Reporting Form

Filed this form online before?  Click here to go to the P & C Claims Form

New to filing this form online?   Please read the following instructions before filling out the Form.

Step 1: Completing The Form

Enter all relevant information in the proper fields. Use the tab key or your mouse to move between fields. The color red indicates a mandatory field. After completing the form, print the form, and then click the "Submit Report" button at the bottom of the page.

Your Claim Reporting Form will be checked for accuracy. A warning box will identify any errors or missing mandatory information. You will be directed to the field that needs correcting. Once all corrections are made, click the "Submit Report" button again.

Step 2: Confirmation Page

Valid Claim Reporting Forms will be transmitted to the MMA Claims Department. You will receive a confirmation page containing the submitted information. The Claims Department will contact you to investigate the claim.

IMPORTANT REMINDERS

1. Red means mandatory. 
   
   
2. Do not use the enter key to move your cursor within the Claim Report Form. Use your tab key or mouse to move through the document.
   
   
3. Please use the drop down boxes when available. They make submission easier.
   
   
4. Be as detailed as possible in the "Description of Loss" box.
   
   
5. You should print a copy for your records before hitting the submit button. When you are finished, hit the Submit Report button at the bottom of the form. You should receive a confirmation page, which indicates your Claim Report was sent to MMA.

For assistance with online reporting, please contact:
Christopher McCauley at (207) 626-5583 ext. 2272, or 800-590-5583, or

CMcCauley@memun.org