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Submit a Claim

Please complete the following form to notify our claims department of a new claim OR contact our claims department at 1-844-531-1841. After hours, please use option#3.

"*" indicates required fields

Insured name

Your contact information

Please enter the name of the Brokerage this policy was placed with
Please enter a description of the loss, include police file number if applicable.
Location of loss
Please enter the location of where the loss occurred
MM slash DD slash YYYY
When did the loss occur?
By clicking submit. you are agreeing to our privacy policy.
If you are interested in learning more about how Agile protects your personal information, please visit agileuw.ca/privacy/