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891 South James Road  •   Columbus  OH  43227
(614) 235-2815     Fax: (614) 235-2821

   
On-Line Service Center

Homeowners Insurance--Report a Claim
Please note: Submitting a claim at this web site does not confirm coverage
or authorize payment. A claims representative will verify coverage and contact you to complete the claims process.
Policy Number:
Your Name:
Contact Person:
Whom should the adjuster call to settle your claim?
Name:
Home Phone:
Work Phone:
E-Mail:
Best time to call:
Authority Contacted:
Police/Fire dept:
Report number:
Claim Information:
Date of loss:
Location of claim:
Cause of loss:
Describe Your Damages/Loss:
Emergency services needed: Temporary Shelter Required? Yes  No
Windows Required Boardup? Yes  No
Other?:                  
Persons Injured:
Name/address
Phone number:
Nature of injuries:
Cause of injuries:
Comments and/or Other Information:
               
If you have not received a response from us within one business day, please contact us again.  Thank you. 


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Soller Insurance Agency, Inc. 
891 South James Road
Columbus, OH 43227 
Phone:  (614) 235-2815
Fax: (614) 235-2821 
insure@sollerinsurance.com 		 


Copyright © Soller Insurance Agency, Inc., 2003
insure@sollerinsurance.com