PKG Insurance

File a Claim Online

To report a claim, please complete the following information and submit the form.
If you prefer, you can contact us at 215-340-1232.

Type of Claim

I am submitting claim as a

Claim / Loss Type

Policy Number (if available)

Personal / Contact Information

First Name

Last Name

Street Address

City and State

Zip Code

Email Address

Telephone Number

Alternate Number

Loss / Claim Information

Incident Date

Incident Time

Time Zone

Location where loss occurred

Description of what occurred


Type of Claim
I am submitting claim as a
Claim / Loss Type
Policy Number (if available)

Personal / Contact Information
First Name
Last Name
Street Address
City and State
Zip Code
Email Address
Telephone Number
Alternate Number

Loss / Claim Information
Incident Date
Incident Time
Time Zone
Location where loss occurred
Description of what occurred