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Submit a Claim Online!

To submit a claim, please fill out the form below and an American Marine Insurance representative will contact you with regards to the details of your claim.

Submit a Claim Form

Named Insured*

First
Last
Email*
Contact Person*

First
Last
Address*

Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code

Country
Phone*
Fax
Date of Loss*

MM

DD

YYYY
Location of Loss*
Current Vessel Location*
Policy Number
Please describe the loss*

American Marine Insurance Services | 410 Bryant Circle, Suite B | Ojai, CA 93023 | Phone: (805) 640.3970 | Privacy Policy