Claim Forms

Easy access to all the forms you need.

It may be necessary for you to provide us with additional information about your auto or homeowners loss. Below is a list of forms that a Travelers of Massachusetts Representative may request that you complete and send back to us.

If you have any questions or need assistance please contact your independent agent or a Travelers of Massachusetts claim representative at 1-877-4 CLAIM 6 (1-877-425-2466)

Accident Report
Affidavit of Vehicle Theft
Application For Benefits
Bailment Statement
Forgery Affidavit - Corporate
Forgery Affidavit - Individual
Fraud Advisory (Albanian)
Fraud Advisory (English)
Fraud Advisory (Portuguese)
Fraud Advisory (Russian)
Fraud Advisory (Spanish)
Fraud Advisory (Vietnamese)
Lost Check Affidavit - Corporate
Lost Check Affidavit - Individual
Medical Information Consent
Receipt and Release
Repair Certification
Wage and Salary Certification
Witness Statement

To report a claim, call 1-877-4 CLAIM 6 (1-877-425-2466)