About Us

Has the unexpected happened? You can report your claim 24 hours a day 7 days a week using the online form or by calling 1-833-327-8787. Your claim will be assigned to a representative who will contact you to obtain additional information and answer your questions.

If you are an East Street Insurance policyholder, please login to your Online Account Manager to file a claim

I acknowledge, in starting the claims reporting process, East Street Insurance is not in any way verifying or committing to coverage for your loss. A claims representative will determine if coverage applies. Please keep all loss-related receipts for possible reimbursement.*

Type of Loss

Auto
Home

Submitter Information

First Name

Last Name

Street Address

Apartment

City

State

Zip Code

Home Phone

Work Phone

Other Phone

Best Time to Call

Your Email

Confirm Your Email Address

Insured Information

Policy Number

First Name

Last Name

Street Address

Apartment

City

State

Zip Code

Phone

Insured Email

Loss Information

Date of Loss (mm/dd/yyyy)

Time of Loss (EST)

Where did the loss occur?

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Description of What Happened

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How many vehicles were involved?

Was something hit?

What was hit?

Animal
Building
Pedestrian
Personal Property
Property owned by a municipality (light pole, guardrail, etc.)

What was involved?

Fire
Theft
Vandalism
Storm Damage
Falling Object
Other

Other

Was there damage to property that was not a vehicle?

What was damaged?

Animal
Building
Pedestrian
Personal Property
Property owned by a municipality (light pole, guardrail, etc.)

Were there injuries? *

Yes

Describe Injuries

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What was damaged?

Automobile
Structure
Personal Property

Describe the Damage

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Please add all vehicles and any other objects that were involved in accident.

Vehicles

Vehicle

Same as Insured

Owner First Name

Owner Last Name

VIN

Year

Make

Model

Color

Was vehicle parked at time of accident? *

Yes

Describe Vehicle Damage

Driver Information

Driver First Name

Driver Last Name

Injuries or Fatalities? *

Yes

Injured Name(s)

Was this a fatality? *

Yes

Objects

Object

Object Description

Object Damage

Object Owner Information

Same as Submitter

First Name

Last Name

Street Address

Apartment

City

State

Zip Code

Phone

Please add all authorities and witnesses involved.

Authorities

Authority

Agency Name

Case Number

Witnesses

Witness

First Name

Last Name

Street Address

Apartment

City

State

Zip Code

Phone

A person who knowingly and with intent to defraud an insurer files a statement of claim containing any false, incomplete or misleading information commits a felony.

About Us

East Street is a people-driven insurance company that’s focused on building open and honest relationships with customers.

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Contact Us

email Contact & Support

local_phone 833.327.8787