Report an Insurance Claim

Name: Contractor's Choice Agency
Address: 12220 E Riggs Rd, Chandler, AZ, 85249, US
Telephone: 844-967-5247
Price range: $$

Submit your claim information securely and we'll connect you with the appropriate carrier representative to expedite your claim processing.

Call 844-967-5247 Email Us

Important Claim Reporting Information

Report claims immediately - Most carriers require notification within 24-48 hours

Emergency claims: Call 844-967-5247 for immediate assistance

Secure submission: This form sends encrypted information directly to our claims team

Claim Information Form

Please provide as much detail as possible to help us process your claim quickly

Contractor Information

Business/Contractor Name *

Phone Number *

Email Address *

Policy Number

Claim Information

Type of Claim *

Date of Incident *

Time of Incident

Location of Incident *

Description of Incident *

Claimant Information

(Person filing the claim)

Claimant Full Name *

Claimant Phone *

Claimant Email

Street Address *

City *

State *

ZIP Code *

Additional Claim Details

Injury Description (if applicable)

Property Damage Description

Witness Information

Police Report Information

Additional Information

By submitting this form, you consent to CCA processing this claim information and sharing it with your insurance carrier.

Need Immediate Help?

For urgent claims or after-hours emergencies, call our 24/7 claims hotline

Call 844-WORK-247

Direct Email

Send claim documents and additional information directly to our claims team

Email Claims Team

What Happens After You Submit Your Claim?

Immediate Review

Our claims team reviews your submission within 2 hours during business hours

Carrier Notification

We immediately notify your insurance carrier and provide all claim details

Follow-up Contact

You'll receive confirmation and next steps from both us and your carrier