Client Services

Claims Support

If something happened and you need help understanding the next step, submit the details below. Our team will review your request and help guide you through the process.

Emergency: If this is an emergency or someone is in danger, call 911 immediately. This form is not monitored for emergencies.

Important: Submitting this form does not file a claim directly with the insurance carrier. Adonai Insurance Advisory will review your information and help guide the appropriate next step based on your policy and carrier process.

Claims Details

Fields marked with * are required.

Policyholder / Business Name *

Contact Name *

Phone *

Email *

Preferred Contact Method *

Type of Claim *

Date of Incident / Loss *

Location of Incident / Loss *

Short Description of What Happened *

Already reported to carrier?

Is anyone injured?

Urgent property damage or business interruption?

Documents / Photos

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By submitting this form, you agree to be contacted by Adonai Insurance Advisory regarding your request. Your information will not be sold.