Property and Liability Custom Claims Report Your Name*Your Title*Your Email Address* Entity Name*Which categories would you like contained in your customer report (check all that apply)* By Claim Number By Year of Loss (ex: all claims from 2006) By Date Claims Were Added/Reported By Specific Date of Loss By Claimant Name By Entity Name By Department By Liability Coverage Line (i.e. General Liability, Law Enforcement, Public Officals) By Claim Status (i.e. Open, Closed, Repopened) By Claims with a Value Above (see input below) By Claims with a Value Below (see input below) By Number of Days the Claim Has Been Open By Recovery Amount Value AboveValue BelowWhat Date Do You Need Your Report By?* MM slash DD slash YYYY *Please allow a minimum of 24 hoursThis field is hidden when viewing the formUsername Δ
