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CLAIM REPORTING

Emergency Claim Reporting Procedures
Please click HERE

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

 

Injury Reporting Procedure - click HERE

 

Please click HERE for a complete
listing of your Qual-Lynx
account service team.