File A Property claim

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FILE A PROPERTY CLAIM

PROPERTY CLAIM FORM

Fill out the form below, or download and email us the Property Claim Form PDF.

Phone

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Insured name(Required)

First Last

Date of Incident

Time of Incident

Address

Street Address City State ZIP Code

Phone(Required)

Additional phone

Description of Incident(Required)

Injuries?

If yes, please explain.

Witness Name

First Last

Witness Phone

Witness 2 Name

First Last

Witness 2 Phone

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Contact Info

Jamestown

716.664.3890

[email protected]

Mon - Fri 8:30AM - 5:00PM

Saturday & Sunday Closed

205 Fluvanna Ave

Jamestown, NY 14701

Buffalo

716.822.6874

[email protected]

Mon - Fri 8:30AM - 5:00PM

Saturday & Sunday Closed

1926 Clinton St.

Buffalo, NY 14206

Welcome to Cynthia Woltz Insurance Agency, Inc, located in Jamestown, and Buffalo, NY.

Jamestown Office

Buffalo Office

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Welcome to Cynthia Woltz Insurance Agency, Inc. We're here to help.

File A Property claim

FILE A PROPERTY CLAIM

PROPERTY CLAIM FORM

Contact Info

Jamestown

716.664.3890

Mon - Fri 8:30AM - 5:00PM

205 Fluvanna Ave

Buffalo

716.822.6874

Mon - Fri 8:30AM - 5:00PM

1926 Clinton St.

Jamestown, NY Contact

Buffalo, NY Contact

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