Claims Reporting

Claims should be reported directly to Cox Specialty Markets. Complete the appropriate claim form found below:

Be sure to include:

Then fax the claim report form along with any other pertinent information to (937) 547-6472.

Your claim will be documented and forwarded to the appropriate party for handling. We will confirm receipt of the claim and provide you with further information.

Claim Forms
Commercial Lines
Automobile Loss Notice - 2  
General Liability Notice of Occurrence / Claim - 3  
Property Loss Notice - 1  


2007 MS General Agency Inc. dba Cox Specialty Markets