Claim Assignment Form

Submit a claim using Custard's Online Claim Submission Form -

Please click one of the links below to submit a claim using our automated claim submission form. Your assignment will be sent to our HOTLINE.

Claims received after normal business hours (M -- F, 8:00 AM -- 8:00 PM ET) will be processed immediately the following business day.

Submit a claim using your own Loss Form -


If you have a completed Loss Form ready to submit, you may upload it here:
We are not accepting submissions with ZIP files attached at this time. You are able to select multiple files to upload with IE 10 or greater as well as Chrome, Firefox, Edge, Safari, and Opera.
Please fill in all information when using this form