Submit A Claim

**If you are a first time user, please fill out the form below to submit a claim. A representative will contact you shortly to set you up in our system.

Adjuster Information
Name:*
First Last
Company Name:*
Office/Zone:
Supervisor Name:
Email (This will be your username)*
Phone*
Fax
Policyholder Information:
Name
First Last
State:
Zip Code*
ZIP / Postal Code
Email
Phone
Claim Information:
Claim Number:
Date of Loss:
MM slash DD slash YYYY
Deductible:
Individual Limit:
Aggregate Limit:
Contact Insured*
- Contact Insured* (Recommended)
- Do Not Contact Insured
Replacement Items:
1. Scheduled Limit:
Item Description:
2. Scheduled Limit:
Item Description:
3. Scheduled Limit:
Item Description:
4. Scheduled Limit:
Item Description:
5. Scheduled Limit:
Item Description:

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- “What a good experience on a bad situation… Artigem replaced my lost bracelet, my rep did a great job in customer service and I’m very happy with the quality of my new bracelet, thanks again Artigem!!!”
  
  – Nick (Policyholder), 2021
- “At ARTIGEM, we believe that people don’t care how much you know, until they know how much you care. That’s why we build trust in every solution through our actions not our words.”
  
  Kurt Artinger,
  CEO & Founder
- “When we lost an earring, we had some many questions and didn’t know what to expect or if we would get back what we had lost. My rep was there for us the whole time to ensure questions were answered and we know what to expect. We just got our replacement set and it took all of 2 min for my wife to put back on. Thank you for taking suck care of us and couldn’t be happier.”
  
  – Andy (Policyholder), 2021
- “Artigem did a fantastic job of recreating my wife’s lost wedding ring set from pictures and descriptions. Fantastic! My wife was thrilled!”
  
  – Donald (Policyholder), 2021
- “What a great experience with Artigem. My rep and his team created a ring for me which is absolutely beautiful! My rep was very professional keeping me updated on the process of creating it. Thank you again!”
  
  – Tammy (Policyholder), 2021

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Submit A Claim

Adjuster Information

Policyholder Information:

Claim Information:

Replacement Items: