Colleagues having an in person meeting, using a tablet, a laptop, and a notebook

Report a Claim

All claims in Canada except Quebec

Please fill out the form below to report a claim

An asterisk (*) indicates a required field

The field labelled notified by is a required field. Please enter the information before submitting the form.
Please enter a phone number. This is a required field.
Please enter an email address. This is a required field.
The field labelled insured is a required field. Please enter the information before submitting the form.
Please enter the location of breakdown. This is a required field.
Please enter the policy number. This is a required field.
Please enter the object. This is a required field.
Please select a date of breakdown. This is a required field.
Please indicate the nature of breakdown. This is a required field.
Please indicate contact at location. This is a required field.
Please indicate contact at location phone number. This is a required field.
Thank you for your submission! A representative from HSB Canada will be in contact with you shortly.
Oops! Something went wrong during the submission process. Please try again or email ClaimsTOR@biico.com.