CLAIMS CENTER - German Farmers Insurance

CLAIMS CENTER

Step 1 of 10

Please complete the following form to begin the claim process.
Once you have completed the form, you will be given the chance
to verify the information you have provided.
Your Name*
Policy Number
Home / Cell Phone*
Your Email*
Best Time to Call*

Date of Loss*
Location of Loss*
Street Address Address Line 2 City State ZIP Code

Cause of Loss*
(Provide List of Building(s) or Item(s) Damaged and Extent of Damage)*
Any additional info on damages?

Do you have photos of the damage?*
- Yes
- No
How many photos?*

Photo 1 File upload

Photo 2 File upload

Photo 3 File upload

Photo 4 File upload

Photo 5 File upload

CAPTCHA
Consent*
I certify the data I have entered is truthful
Comments
This field is for validation purposes and should be left unchanged.