Submit an update request

Fill out the following form to request an update on your open claim and a customer service agent from Magnum Insurance will reach out soon. Please remember that we’re an independent agent working on your behalf to process the claim with your insurance carrier.

Fields marked with an * are required

Name *

Best Phone Number to be contacted *

Email *

Preferred Language *

Policy Number *

Claim Number *

Date of Accident *

Are you a customer or agent? *

Insurance Company *

Question/Comment *

If you have the police report, pictures or any other documentation pertaining to claim, please upload it here