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Submit a Claim

Please select below the type of Claim you would like to submit and then fill the corresponding form.
Afterwards you will receive a Reference Number via email.

Girl Submitting a Claim in the computer

First Notice of Loss Automobile

First Notice of Loss Property

First Notice of Loss Liability

First Notice of Loss Workers Compensation

Coverage/product information provided on this Web site is not an insurance policy or a supplement to any policy. This information is intended to provide a general description of products typically available through Mutual Benefit Insurance Company and Select Risk Mutual Insurance Company. The actual coverage provided is governed exclusively by the language contained within the insurance policy issued to you.