File a Claim - Wisconsin Mutual Insurance Company

A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime.
Name:*
Phone Number*
Email:*
Address:*
City:*
State:*
Zip:*
Date of Loss:*
MM slash DD slash YYYY
Time of Loss:*

: Hour

Minute

AM/PM
Facts of Loss:*
Damages*
Policy Number:*
If you do not know your Policy Number you can find it on your account page.
Applicable to Auto:
Driver Name & Relationship:
Vehicle Make, Model & Year:
Injuries? If yes, please describe: