First Notice of Loss Form - Storage Unit Claims
To submit a new claim, please complete this form below and click on the Submit button. Please enter as much information as possible to expedite the investigation process. If you have any questions, please call:
For Choice Protection Claims: (888) 996-0246
Information
* First Name:
* Last Name:
* Phone Number:
* Do you authorize ACM to send text messages with claim information to your mobile number?:
(Please Select a Response)
YES
NO
* Email:
* Address:
* City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code:
* Description Of Your Claim:
* Loss Date (Date when you first noticed there was damage):
* Storage Facility State:
Please Select a State
* Storage Facility Address:
First select a Storage Facility and State
* Loss Type:
(Please Select a Loss Type)
* Storage Unit Number:
Incident Report Number:
Police Report Number (if you have it):
Preferred Language:
English
Spanish
French
German