Online Claim Form

To submit a claim and start the Claims process, use your insurance policy documents to fill out the form below and click ‘Submit’. Upon receipt of this report, Red River Mutual will assign a Claims Specialist to you.

If you are having difficulty filling out your claim, please contact your local insurance broker for hands-on assistance.

Enter information below:

We will have one of our brokers contact you within 2 business days.

Policy Number*
Policy Expiry Date*
Name of Insured*
First Last
Email of Insured:*
Enter Email Confirm Email
Mailing Address*
Street Address Address Line 2 City Province Postal Code
Contact Phone Number*
Cell Phone
Business Phone
Location of Loss*
Date of Loss*
Cause of Loss*
Police Report No. (If Applicable)
Date Reported
Estimated Amount of Loss*
Broker*
Comments

Find an insurance broker near you.

Sub Pages

Online Claim Form

Enter information below: