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Anglers Advantage
Insurance Program
P.O. Box 795
Shawnee Mission, KS. 66201
Fax: 1-800-777-BOAT (2628)
Submit a Claim - Property Claims
Old United Casualty Co.
P O Box 795
Shawnee Mission, KS 66201
Policy Information
Agency
Phone Number
Fax Number
Policy Number
Policy Term
Insured
Name Insured
*
Additional Insured
Home Phone
*
Work Phone
Cell Phone
Address
Address 2
City
,
State
,
Zip
:
Fax Number
Email
*
Loss Information
Date/Time of Loss
*
Date/Time of Loss
*
Type of Loss
*
Operation Information
Description of incident
Extent of damage
Police/Fire Dept. reported to
Report Number
Boat location for inspection
Contact
Phone Number
Insured Property
Vessel
Yr.
Manufacturer
Model
Hin #
Trailer
Yr.
Manufacturer
Model
Hin #
Engine
Yr.
Manufacturer
Type
HP
# of Engines