NREIG Report an Incident

Potential Report of Property Damage or Bodily Injury

Please fill out as much information as possible. The more information you can provide, the better we will be able to assist you.

This is not a report of a formal insurance claim, but rather information required to determine if an insurance claim may have occurred for reporting purposes to the appropriate insurance carrier.

Client Code *

Account number with National Real Estate Insurance Group

Account Name*

Business, Entity, or Individual Name

Name of the person submitting this report*

First Name

Last Name

The person submitting this report is the*

Owner Property Manager Tenant

Other:

If "Other", please describe your role.

Where are you located?*

United States Outside the United States

Mobile Phone*

Cell Phone*

Office Phone*

Form Submitter Email Address*

Outside the United States current mailing address*

United States: What is your current mailing address? *

Address Line 1

Address Line 2

City

State

ZIP Code

Will the person submitting this loss be the key contact person for this loss going forward?*

Yes No

Name of key contact person providing information for this loss*

First Name

Last Name

Where is the key contact person for this loss located?*

United States Outside the United States

Mobile Phone*

Outside the United States current mailing address*

Cell Phone*

Office Phone*

Key Contact Email Address*

United States: What is your current mailing address?*

Address Line 1

Address Line 2

City

State

ZIP Code

Date of Incident*

Enter the date of occurrence (if known) here.

Date of Discovery*

Enter the date the damages were discovered. This date must be on or after the date of incident.

Property address where the incident has occurred (Not your business address). Please do not combine separate dwelling addresses, please use the link below.*

Address Line 1

City

State

ZIP Code

Please click here to report any additional (or separate) property address location

Estimated Loss Amount*

Exact Date Tenant Vacated the Property?

Please fully describe what caused the loss, outline the property damage or injury and explain how the loss occurred.*

For example: A fire broke out on the stove while the tenant was cooking. No one was injured.

What steps have been taken to protect the property from further damage?*

Who discovered the damages?*

Owner Property Manager Tenant

Other:

If "Other", please describe your role.

Was the property occupied at the time of the loss?*

Yes No I don't know

Upload Photos, Estimates, Leases, Rental Ledgers, Eviction Paperwork, Letters of Representation, or any additional documentation. Please provide now or within 24 hours.

No File Chosen

File uploads may not work on some mobile devices.

Additional Upload

No File Chosen

File uploads may not work on some mobile devices.

Additional Upload

No File Chosen

File uploads may not work on some mobile devices.

Additional Upload

No File Chosen

File uploads may not work on some mobile devices.

If uploading more than one file, please create a zip file and upload above. For videos and other large files you may also email this information to claims@nreig.com and reference your loss location address.

Is this an occupied rental property?*

Yes No

Is the tenant required to secure Renters Insurance coverage?*

Yes No

Renters Insurance Carrier

Please enter the name of the insurance company providing the renters insurance coverage to your tenant.

Renters Insurance Policy Number

Please enter the policy number for your tenant's renters insurance coverage.

Renters Insurance Liability Coverage Amount

Please enter the liability coverage amount shown on your tenant's renters insurance declarations page.

Is a copy of the tenant's Renters Insurance declarations page and/or insurance policy available?*

Yes No

Upload Renters Insurance Declarations Page or Policy - Provide now or within 24 hours

No File Chosen

File uploads may not work on some mobile devices.

If you cannot upload the document, please email it to claims@nreig.com and reference your incident/address. Thanks!

What confirmable date was the property last occupied?*

Please provide the date the location was last occupied. If you are not sure, enter unknown.

Do you have a Property Manager?*

Yes No

Property Manager Name

Property Manager Address

Address Line 1

Address Line 2

City

State

ZIP Code

Property Manager Phone

Property Manager Email Address

Is there a mortgage or lien holder on this location?*

Yes No

Mortgagee*

Mortgagee Address*

Address Line 1

Address Line 2

City

State

ZIP Code

For your benefit, please take reasonable precautions to ensure the security of your property so that no further damage is caused. These actions are also part of your obligations as an insured. For more information, see the “Duties in the Event of a Loss” section of your policy. Any expenses you incur for a covered loss may be considered part of your claim, so please retain your receipts for any temporary repairs made. Please be advised that permanent repairs made prior to inspection may affect the loss investigation. Please email us at claims@nreig.com or call 1-888-741-8454.

In the event of a Water-related loss, it may be advisable to:

Turn off the main water supply to the property
Remove standing water from the property
Remove wet carpet, drywall, and wet insulation
Set fans out to assist in drying the water
Save damaged items, such as the broken pipe for the adjuster
Take photos of the damage
Obtain an estimate from a trusted contractor

In the event of a Vandalism or Theft loss, it may be advisable to:

Board and secure the property
File a police report
Take photos of the damage
Obtain an estimate from a trusted contractor

In the event of a Wind/ Hail loss, it may be advisable to:

Cover any areas on the roof or siding that are exposed with a tarp
Take photos of the damage
Obtain an estimate from a trusted contractor

In the event of a Fire loss, it may be advisable to:

Cover any areas that are exposed with a tarp or board and secure the property
File a fire report
Take photos of the damage
Obtain an estimate from a trusted contractor

Please note that we will acknowledge your submission of information. This acknowledgement does not mean that the information is complete and final. We will need to review the submitted information and you may be asked to submit additional information during the incident investigation and settlement process.

Claims are adjudicated and settled by the insurance carrier relative to the respective location. NREIG does not determine coverage, pay, or deny claims.

Electronic Signature*