storsmart insurance     a self storage
        contents insurance program		 phone:
claims:
fax:
email:		 888.545.SMART
855.805.7433
800-590-9507
info@storsmartinsurance.com

PROPERTY LOSS CLAIM FORM


We’re sorry about your property loss. Storsmart Insurance is here to help every step of the way. Please fill out the form below and press the "Submit Form" button at the bottom of the page when finished. Upon confirmation of coverage our claim representative will contact you and assist you through the claim process.

Required Fields are highlighted in yellow below.

INSURED/CERTIFICATE HOLDER

Today's Date :
First Name : Last Name : Company name(if applicable) :
Leave this field blank
Address :

City : State : Zip :
Primary Phone : Other Phone : E-Mail Address :

INSURANCE COVERAGE

Certificate # : Unit # : Lease Origination Date : Insurance Policy Date :
Coverage Amount : Deductible :
Other Insurance on Property :

STORAGE FACILITY INFORMATION
Facility Name :
Address :

City : State : Zip :  
Manager's Name : Phone :

LOSS

Date of Loss : Cause of Loss :
Description of Cause of Loss :
Date Damage Discovered : Discovered by :

Description of Damage :
Police/Fire Report Filed : Date Reported : Department : Report # :
Yes  No

FILE REPORT

If you would like to submit photos with your loss notice, please email them to [email protected]. If you would prefer to submit the loss notice via fax, please print the form and fax it to 314-821-7625.


Toll Free Claims Number: 1-855-805-7433
Toll Free Customer Service Number: 1-888-545-SMART