File A Claim Please provide the following information in as much detail as possible so that we can most effectively process your claim. Claim FormRelationship to Claim Policyholder Claimant Attorney Agent Public Adjuster OtherFirst NameLast NameYour AddressAddress Line 1Address Line 2CityStateZip CodeHome PhoneWork PhoneExtensionCell PhoneEmailContact Information of Person Reporting the LossDate of LossTime of LossClaim Type- Select -Building and ContentsEquipment BreakdownFireFloodHailInjuryLaw and OrdinanceLiabilityService LineTheft/Burglary/VandalismWindPolicyholder NamePolicy #Loss LocationCountyCityStateZip CodeBriefly Describe what happened in the incidentWere there any injuries? Yes NoInjured Party InformationYour claim is ready to submit. Is there anything else that you would like to note.Submit File your claim by phone 1.855.CALL.KWS (225-5597) While your claim is being processed… Don’t admit responsibility for the accident or injury. Don’t give copies of documents to anyone other than company claims associates or authorized representatives.