Report A Claim

With Arlington Mutual Insurance Company, it's easier than ever to report a new claim. If you have any questions at all, contact your agent or call us at (608) 635-4754. You may use the online claim form below to quickly submit a new claim to us. Please complete the form as thoroughly as possible:

Contact Name

Contact Phone

Contact Fax

Contact Email

Contact Mailing Address

Contact Insured

When To Contact

Agent

Insured Name*

Insured Mailing Address*

Insured Date Of Birth*

Insured SSN

Insured FEIN

Insured Marital Status

Insured Primary Phone*

Insured Secondary Phone

Insured Primary Email*

Insured Secondary Email

Spouse Name

Spouse Mailing Address

Spouse Date Of Birth

Spouse SSN

Spouse FEIN

Spouse Marital Status

Spouse Primary Phone

Spouse Secondary Phone

Spouse Primary Email

Spouse Secondary Email

Date Of Loss*

Time Of Loss*

Location Of Loss*

Loss Location City, State, Zip*

Loss Country

Describe Location Of Loss If Not At A Specific Address

Police Or Fire Department Contacted

Report Number

Probable Amount Entire Loss

Description Of Loss And Damage*

Verify

MAIN OFFICE

Arlington Mutual Insurance Company

203 Main St.

P.O. Box 199

Arlington, WI. 53911

Phone: 1-608-635-4754

teri@arlingtonmutualinsurance.com

lynn@arlingtonmutualinsurance.com

ETTRICK OFFICE

Arlington Mutual Insurance Company, Ettrick Office

22766 South Main Street

Ettrick, WI. 54627-0035

Phone: 1-608-525-3201

lorraine@arlingtonmutualinsurance.com

michael@arlingtonmutualinsurance.com

heidi@arlingtonmutualinsurance.com

joe@arlingtonmutualinsurance.com

Report A Claim

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