CLAIM REPORTING

Please Please click below to view or print
the applicable claim form.

Auto Loss and General Liability forms
Auto Loss Notice- fill-in form

Auto Loss Notice- standard form

General Liability Notice- fill-in form

General Liability Notice- standard form

Once the form is complete, please
email the completed form to:
Laura Sable
Phone: 609-653-8400 x2047
Fax: 609-601-3173
lsable@qual-lynx.com

 

Property Loss forms
Property Loss Notice- fill-in form

Property Loss Notice- standard form

Once the form is complete, please
email the completed form to:
Christopher Roselli
Phone: 609-653-8400 x2037
Fax: 609-601-3192
croselli@qual-lynx.com

 

Emergency Claim Reporting Procedures - click HERE

 

Please click HERE to view or print a
complete listing of your Qual-Lynx
account service team.