The Co-operators - How To Make A Claim

Plans

Claims

Downloads

Why buy travel insurance?

Plans for International Students

Plans for Expatriates

Take Flight

Where to Buy

Baggage

A separate claim must be filed for the loss when a family member or travelling companion is insured under a different policy number.

Items marked with * are required. Please also complete all relevant information in any non-mandatory fields as it pertains to your claim. Depending on the claim, additional information may be requested.

Personal Information

*Title

*First name

*Last name

*Date of Birth

Insured's complete mailing address

*Street Address

Street Address line 2

*City

*Province/State

*Postal/ZIP Code

Contact Information

*Telephone number
	including area codes

Fax number
	including area codes

Main language spoken
	Main language/dialect spoken if other than English

Email Address
	Note: It is important that the security setting of your email account is set properly to avoid our reply e-mails being put into your spam folders

TIC Policy Information

*Policy Number

*Plan

*Purchase date
	yyyy-mm-dd Date your insurance was purchased

*Insurance agency/broker
	Name of Insurance agency/broker where you purchased your insurance

Family members/travelling companions

Number of travelling companions / family members

First name

Last name

Date of Birth

Relationship to Insured

Claim information

*Type of Loss

Location where loss occured

*Date loss occured

Country of loss

Did you report your loss?

To whom was the loss reported?

Decribe how the loss occurred

*Describe how the loss occurred

Other coverage

*Similar benefits
	Do you have similar benefits available with any of the above?

If other, please describe

Insurance company
	Provide name of Insurance Company providing homeowner's/tenant's coverage

Have you received any settlements from any other source?
	If yes, please provide a copy of the settlement.

Losses

Number of losses

Purchase date

Original Price

Repair Cost

Amount Claimed

Additional Information

Additional information

Search entire website for documents and/or web pages

English | Français

Travel Tips & Links
News Room Important Advice Travel Links Insurance Links Travel Advisories

Automation
Agent Login

Site Map

Webmaster

Legal