Submit a Claim

Our Claims Team is dedicated to providing honest, fair and prompt investigation, handling and disposition of your claim. Please fill out the following form as completely as possible and you will hear from one of our representatives soon. You can also contact us directly:

CNS Insurance
151 Koser Road, Lititz, PA 17543
Phone: 717-625-0066
Fax: 888-980-1046

Fill out your information below:

First Name*
Last Name*
Address*
City ZIP / Postal Code
State
Phone*
Alternate Phone
Email Address*
Policy Number*
Incident Overview
What date did the incident take place?*
What vehicle was involved?*
How severe was the damage?*
Is the vehicle drivable?*
Was another vehicle involved?*
Where is the vehicle currently located?*
What is the phone number for the location?*
Incident Location
Street Address
State
Incident Description
Describe the Incident
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Submit a Claim

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