Hiscox USA  -Encourage courage.
Claims Submission Form

Need to report insurance fraud?

Email us at: Report.fraud@hiscox.com

To report a claim, please complete this short form and hit submit. You will receive an email copy of this form upon completion. Please note that an asterisk (*) below indicates a required field.

Your Details

First and last name:*
Telephone number:*
Email address*:
Business name*:
Hiscox policy number*:
State*:
Coverage(s) purchased*:
Professional liability/errors and omissions
General liability
Business owner's policy
Data privacy breach
Unknown
*Includes Professional Liability Portfolio

Please provide a brief description of the matter (claim, loss or potential claim) you are reporting to us.*
Please tell us when and how you first learned about the matter you are reporting to us?*
Please indicate the value of the claim (if known) and attach any supporting documentation

Pursuant to applicable state law, we are obligated to advise that it is a crime for any person to knowingly defraud or deceive an insurance company and that a person is committing an illegal, fraudulent act if he or she files a statement of claim containing any knowingly false information, or conceals for the purpose of misleading, any information concerning any material fact. Such person may be subject to criminal and/or civil prosecution.


Please click "Browse" and "Upload" up to five files to your claim submission (e.g. complaints, pictures, receipts, etc).
Acceptable files: PDFs, Outlook email files (.msg), HTML files, Word docs, Excel docs and jpgs.