SUPPORTING DOCUMENTS UPLOADS
All information submitted in a Claim Form and in support of a Claim Form is subject to further inquiry and verification.
The Claims Administrator may ask you to provide additional supporting information or documentation. Failure to provide such requested
information or documentation might adversely affect, or result in denial of, your claim.
In addition to the signed and dated online Claim Form you are submitting here, you may also submit any documentation you have in support
of your claim. Receipts, policy documents, or similar records are preferred. If you do not have your original policy information, you may
include a signed statement regarding the Lloyd’s policies you purchased or renewed, the year the policies were in effect, and the approximate
amount of the annual premiums you paid for each policy. You must sign and date any statement you provide, as it will be deemed submitted as
true and correct under the penalty of perjury. The submission of false information may subject you to civil and/or criminal penalties.
Any supporting documentation should be submitted as legible copies.
Please use the browse option, by clicking on “Select Files” in the box below to upload your supporting documentation.
Files To Be Uploaded