Claims management and adjusting firm
FRANÇAIS
FRANÇAIS
HOME
ABOUT US
SERVICES
TOOLBOX
Publications
FAQ
Links
TEAM
CONTACT US
Contact us
1027 Boul. des Entrerpises
Terrebonne (Quebec) J6Y 1V2
514 328-2203
/ Toll free:
1 866 320-2203
514 328-7789
info@rpmx.ca
EMERGENCY HOTLINE:
1-833-812-1682
Leave us a message!
Name
Email
Phone number
Business Name
Message
I'm not a robot, show me the form
Submit a claim !
Reported by
Person:
Firm:
Phone:
Email:
Insurer
Policy number:
Claim number:
Examiner:
Coverage:
Insured property / risk:
Report to:
Insured
Name:
Address:
City:
Province:
Postal code:
Home phone:
Work phone:
Email:
Loss details
Date of loss:
Type of loss:
Location of loss:
Description:
Special comments / Handling instructions:
Documents
Add file
Choose a file
Add file
Choose a file
Add file
Choose a file
Add file
Choose a file
Add file
Choose a file
I'm not a robot, show me the form