File a Homeowners Claim

Homeowners claim

* Indicates required field

Policy Number *

Name *

First

Last

Primary Phone *

Secondary Phone *

Best Time to Call *

Morning Afternoon Evening

Preferred Method of Transportation *

Phone Email

Email *

Incident Overview

Date of loss *

Loss Type *

If other, describe below: *

How severe was the damage? *

Describe the Loss/Other Comments *

Submit

Monday - Thursday 9:00 - 5:00 | Friday 9:00 - 3:30

Contact Information

Office Address
107 Ditto Street
Archbold, OH 43502
Contact
419-445-6846 Office
419-445-5103 Fax
zach.p@shortagency.com

Types of Insurance

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