Property Loss Notice 
Property Loss Notice

Contact Information
Your Full Name:
(as listed on policy now)
Your Email Address:
Daytime Telephone Number:
Description of Loss
Time & Date of Loss:
Time AM PM
Date
Location:


Description of Loss:
Police or Fire Department:
Notified?
Yes No
If Yes, Please Specify:

Is Property Habitable?:
Yes No
If No, Where Are You Staying:
or Planning to Stay?
(Please include Address &
Telephone #'s you can be reached at):
Mortgagee or Bank Information

Please Note: Submitting this form via the website does not constitute a "formal" claim. Please contact us or your insurance company to notify of a loss.


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“I use Winooski Insurance personally and also refer them to my clients. Their rates are very competitive and their staff is friendly and effi cient.”

Mark Chaffee
Mortgage Financial, Inc.


“When I switched my home and auto coverage to Winooski Insurance, they didn’t just try to sell me the same policy. They asked me the right questions to get me better coverage, while saving me money. I feel confi dent that they shop the best price for me each year.”

Sue Gosselin
Colchester, VT.


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