Claim Status

Check the status of your claim!
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National Vendor's
ClaimStatus.net

Submit a Claim in Several Ways

Download our fax coversheet and fax to: 949-305-4400

Adobe

Submit via our website

Email to: claims@nationalvendor.com

Phone it in to 1-800-919-1922

National Vendor Corporate Headquarters
26249 Enterprise Court
Lake Forest, CA 92630
Toll Free: 800-919-1922
Local: 949-305-4500
Fax: 949-305-4400
www.claimstatus.net

National Vendor Claim Form

Today's Date (mm/dd/yyyy):  
 
Insurance Company: Adjuster's Name:
Address:
  
City:
 State:
 Zip:
Telephone:
 Fax:
Inventory and/or Comments:
 Date of Loss (mm/dd/yyyy):

Claim #:
Policy Holder:

 
Address:
  
City:
 State:
 Zip:
Telephone:
 Work Phone:
Deductible Amount:
 Replacement Cost Coverage?
YesNo