Call Us 843-572-1500 ☰ ˟
Logo
Call Us: 843-572-1500
  • Home
  • Get A Quote
    • Automobile
    • Flood
    • HomeownersImage of right arrow
      • CLICK HERE for Flood and Homeowners Ins. Quote
      • CLICK HERE for Homeowners Insurance Quote
    • Insurance
    • LifeImage of right arrow
      • Immediate Online Life Insurance Quote
      • Life Insurance Quote Request by Email
    • Other
    • Renters
    • Watercraft & Boat
  • Customer Service
    • AutomobileImage of right arrow
      • Request ID Card for Auto Policy
      • Request Declaration and Coverages Page for Auto Policy
      • Send Declaration and Coverages Information to Lien Holder
    • HomeownersImage of right arrow
      • Request Declaration and Coverages for Existing Homeowners Insurance Coverage
      • Request Evidence of Insurance
  • Blog
  • Resources
    • Secure File Area
    • Refer a Friend
    • Important Links
    • Insurance Glossary
  • About Us
    • About Harrell Insurance Agency
    • Location Map
    • Customer Testimonials
    • Privacy Policy
  • Contact
    • Contact Us
    • Join Our Newsletter
Icon

Auto

We browse through a wide variety of coverages and find the right one for you.

Get a Quote
Icon

Home

We browse through a wide variety of coverages and find the right one for you.

Get a Quote
Icon

Flood

We browse through a wide variety of coverages and find the right one for you.

Get a Quote
Icon

Boat & RV

We browse through a wide variety of coverages and find the right one for you.

Get a Quote
Icon

Business

We browse through a wide variety of coverages and find the right one for you.

Get a Quote
Home > Homeowners > Property Loss Claim Form
Secured by SSL

Property Loss Claim Form


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information
First Name *
Last Name *
Street *
City *
State *
ZIP / Postal Code *
Primary Phone Number *
Alternate Phone Number
E-Mail Address *
Policy Number *
Loss Overview
Loss Type *
What date did the incident take place? *
/ /
How severe was the damage? *
Describe the Loss *
Submission Validation
Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
Secured by SSL
Insurance Websites Designed and Hosted by Insurance Website Builder

Contact Us Today!
843-572-1500

Social Social Social Social

Resources

  • Products
  • Customer Service
  • Payment Options
  • Report a Claim
  • News
  • About Us
  • Refer A Friend
  • Our Carriers
  • Blog
  • Contact Us

Contact Us

2000 Sam Rittenberg Blvd Suite 124
Charleston, SC 29407

P: 843-572-1500 | F: 843.769.5980
P: 843-242-0974
E: contactus@harrell-insurance.com
© Copyright. All rights reserved. | Powered by Insurance Website Builder