14221 Metcalf Avenue
Suite 130
Overland Park, KS 66223
Phone 913-402-1700
Fax - 913-402-1727

 
  1. Please contact our office during office hours at 913-402-1700

  2. If it is after office hours, please contact your insurance company 24 hours a day using the following information

  3. If you are reporting a claim directly to the insurance carrier, please complete the following form so that we can be notified of the claim.
Travelers Insurance 800-252-4633 Hartford Insurance 866-574-4833
Safeco Insurance 800-332-3226 Allied Insurance 800-282-1446
Hawkeye-Security 800-279-7221 Indiana Insurance 800-279-7221
Met-Life 800-638-2886 Encompass Insurance 800-588-7400
Zurich Insurance 800-987-3373 FirstComp Insurance 888-500-3344
American Modern Insurance 800-375-2075   Fidelity National Insurance 800-725-9472

 

Your Name
Company Name if Applicable
Property Address
City
State (Kansas or Missouri Only)
Zip
Email (Required)
Phone
Cell Phone
Preferred Method for Contact
Date of Claim
Type of Claim
Was the Insurance Company Notified?

Description of Claim


Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.