Pike Mutual Ins. Co.
3873 Cleveland Road
Wooster, OH 44691
330.345.2005

File A Claim

Submit Your Claim Online

To process your claim, please complete the following online form and click the submit button at the bottom of the page.

Policy Number (if available):

Policyholder Name:

Date of Loss:

Time of Loss:

Address:

City:

State / Zip:

 

Contact Person:

Email Address:

Day Phone:

Night Phone:

Cell Phone:

Fax Number:

Pager Number:

Best Time to Call:

Reported By:

Where Did the Loss Occur?:

Description of Loss:

Describe Damages:

Investigating Department:

Comments: