To submit a claim online:
To submit a First Report of Claim form online, click on the link at the right. From the "Response" page you will be able to choose to continue to the online claim form and the form should then appear in your browser window. For first-time users, we recommend printing a copy of "Help" for easy reference.

To report by telephone:
Notify your Bituminous branch claims office using the toll free telephone numbers provided on the drop down menu at the right. During office hours, you will be connected with claims representatives ready to help. After hours emergency situations are handled by an answering machine service providing information on who to call for assistance.

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Click Here for a First Report of Claim form.

Click Here for Help.

Bituminous Claims Offices
To locate your nearest Bituminous
claims office, select your state from
the drop down menu.

Home Office
320 18th Street
Rock Island, Illinois 61201 USA
Phone: 800-475-4477
Fax: 309-786-3847