homecustomer servicemake a paymentclaimscontactinsurance solutions blogsite map
 
 
 
 
 
Business Loss Notice 
Business Loss Notice

Contact Information
Your Full Name:
(as listed on policy now)
Your Email Address:
Daytime Telephone Number:
Description of Loss
Time & Date of Accident/Claim:
 Time AM PM
Date
Location:

Type of Accident/Claim:

Property
Liability
Automobile
Workers Comp
Other:

Description of Loss:
Name(s) of Injured Parties:
Vehicle Description:
(applicable to Auto Claims Only)
Driver Name:
(applicable to Auto Claims Only)
Any Additional Information Not Requested Above
Please Note: Insurance coverage cannot be bound without a written binder from our office.

Enter the security code you see above. Code is NOT case sensitive. *
Exceptional savings for "average" people.

“We have been working with Winooski Insurance for over 10 years. Joe keeps us abreast of any and all new regulations that might have an impact on our industry or business. Because of this we have enjoyed nice dividend checks from our workers comp carrier. Contact Joe or one of his staff for any of your insurance needs.”

Mike Gervais
Prime Renovation Group, Dream Maker Bath & Kitchen of Vermont

“I use Winooski Insurance personally and also refer them to my clients. Their rates are very competitive and their staff is friendly and effi cient.”

Mark Chaffee
Mortgage Financial, Inc.


    © Winooski Insurance Agency, Inc., 2009-2011 Powered By: Insurance Web Designs   webmail login