Submit a File

 

 
 
Submit a New Claim
To assign an MBC Group expert, please complete the online form. For emergency assistance or all immediate inquiries, we can be reached at 1-800-547-0608
 
Select Service
Service
 
Your information
Mandatory fields
First name 

*
 
Last name 

*
 
Email address 

*
 
Name of insured 

*
 
Insured contact number 

*
 
Date of loss 

*
 
Address and location of loss 

*
 
City 

*
 
Province 

*
 
Adjuster 

*
 
Adjusting company 

*
 
Client/Adjuster email 

*
 
Client/Adjuster phone 

*
 
Insurance Company: 

*
 
Claim Number 

*
 
Claim information
Claim type
 
Name of contracting company
 
Contractor phone
 
Site Visit Required
 
File upload
File
Additional details
Choose file or drag & drop here
 
 
Loss Details
 
 

Submit
 
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