in California | Contractors Risk Solutions, Inc.

CRS – Claims Form

"*" indicates required fields

Name*

Email & Company Name*

Phone*

Carrier*

Policy Number*

Date of Incident*

Address of Incident

Street Address Address Line 2 City State ZIP Code

Description of Incident*

Please provide a few details about the incident.

*Optional – Attach File (e.g., Report, Photos, etc.)

This is to support your claim. and also, for larger files kindly send us an email to support@crsnow.net.

Max. file size: 3 MB.

Please complete the form below for a quote.

CSLB License # or Application #(Required)

Is your company projected gross annual sales of $5 million or more?

Yes

Contact Name(Required)

First Last

Phone(Required)

Email(Required)

Is it OK to text this number? (We promise not to share your info or spam you.)(Required)

Yes

How Can We Help You?(Required)

How Did You Hear About Us?(Required)

hCaptcha(Required)

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Are you ready to save time, aggravation, and money? The team at Contractors Risk Solutions is here and ready to make the process as painless as possible. We look forward to meeting you!

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