File A Claim

Report a Claim

* Indicates required field

Policy Number *

Name of Insured *

First

Last

Date of Loss *

Phone Number *

Email *

Type/Cause of Loss (Fire, lightning, hail, theft, water, etc.) *

Report Details of Claim *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address (if different than property) *

Line 1

Line 2

City

State

Zip Code

Country

Mortgage on property where loss occured? *

Yes No

Other insurance covering the property? *

Yes No

Reported by *

Relation to insured *

Agent name *

Reported to police or fire department *

Yes No

Remarks *

Photos of loss *

Max file size: 20MB

Disclaimer: This claim will be reviewed and contact will be made as soon as possible on the next regular business day following receipt of this notice. We may not receive this claim promptly if the report is being completed after hours or on weekends or holidays. This reporting capability is soley for the convenience of filing a claim after hours or when it is not feasible to contact your agent during normal business hours. I herby certify that I have the authority to make this request by being the insured or a representative of the insured. *

Yes

Submit

Farmers Mutual Fire Insurance Company

Telephone:
(865)-397-3161

Fax: (865)-397-5298

farmersmutualins@bellsouth.net

P.O. Box 605
1205 Gay Street
Dandridge, TN 37725

Contact

Report a Claim