Report a Claim Form

Start a Claim

If you are already a Rockingham Insurance customer, log in here or fill out the form below.

* Required field.

Are you a current Rockingham Insurance customer?*
- Yes
- No
Hidden
Basic Information
First Name*
Last Name*
Your Policy Number*
Your Insurance Company Name*
Rockingham Insurance Customer's Policy Number
Other Party's Insurance Company Name
Other Party's Policy Number
Date of Loss*
MM slash DD slash YYYY
Time of Loss
Hour*
Minute*
AM/PM*
Was this an Auto or Property incident?*
- Auto
- Property
Hidden
Auto
Please provide the details of the incident.*
Your Vehicle Information
Vehicle VIN Number
Year*
Make*
Model*
Plate Number
Rockingham Customer's Vehicle Information
Other Party's Vehicle Information
Vehicle VIN Number
Year*
Make*
Model*
Where did the incident occur?
Loss Location*
City*
State*
Zipcode
Hidden
Property
Where did the incident occur?
Loss Location*
City*
State*
Zip Code
Please enter a number from 0 to 99999.
Please provide the details of the incident.*
Was anyone injured?*
- Yes
- No
Please provide a brief description of the injuries.*
Share photos and documents that you have here. Multiple files allowed. Maximum total file size: 8 MB per file. Maximum of three files. Additional photos and information can be provided to your adjuster during the claims process.
Drop files here or

Max. file size: 8 MB, Max. files: 3.
Please provide your preferred contact details.
Email Address*
Contact Number*
Best Method of Contact*
Best Time to Contact*
Name
This field is for validation purposes and should be left unchanged.

Start a non-emergency claim here with insurance coverage of your home, farm, mobile home, auto, rental property, commercial or umbrella policies.

For a Glass Claim unrelated to an accident, please call (800) 868-6633.

Contractor insurance claims with business policies outside of VA & PA (policies with a prefix of R) are reported to: (833) 506-9238.

To file a Farm claim, please call (888) 721-6040 or submit online 24/7.

Farm Claim

File a claim for an excess and surplus lines (non-admitted) policy handled by Rockingham Specialty here.

File a Claim