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Please follow the steps below to file a claim, if you prefer you can email a Claims ACORD App to claims@uiprograms.com

Would you like to call in your claim?

Please call 602.222.8300

Broker Information

Broker Business Name

Broker Name

First Name

Last Name

Broker Email Address

Broker Phone

(###)

###

####

Claim Information

Date of Loss

MM

DD

YYYY

Policy Number

Insured's Business Name

Claim Contact Name

First Name

Last Name

Claim Contact Email Address

Claim Contact Phone

(###)

###

####

Location of Loss

Claim Description