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 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
- “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
- “Our experience with Artigem was excellent. Our representative couldn’t have been more professional and incredibly helpful. We would definitely call on him again in the future. It’s not often that I take the time to review a company or a person but truly felt the need to do it at this time. Thank you for making the experience easy.”
  
  – Michael (Policyholder), 2021
- “My wedding rings were stolen from our home. Artigem and my rep did a wonderful job recreating my rings. They are more beautiful than ever. Thank you very much to you both. We are very happy.”
  
  – Betty (Policyholder), 2021
- “I had a wonderful experience. The earring that I lost was given to me by my sister that died earlier this year. My Claims Rep made it her mission to find a diamond match so I could at least keep one of them since it was precious to me. She checked on me continuously and communicated all the way through the process even after I received my beautiful new earrings. I can not thank her enough. We need more helpful people like her in this world.”
  
  – Sabrina (Policyholder), 2021

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Submit A Claim

Adjuster Information

Policyholder Information:

Claim Information:

Replacement Items: