LONDON AVIATION UNDERWRITERS, INC.

226 SECOND AVENUE WEST · SEATTLE, WA ·98119-4204 · (206) 285-5401 · FAX (206) 284-9808

Report A Claim


When misfortune makes it fortunate to have insurance, LAU will be ready to assist.
You can submit an inital claim report by completing and submitting the following form.
If outside of normal business hours, an adjuster will usually be in contact on the next business day.
Please fill in as completely as possible.

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Policy Information
Insured Name:
Policy Number:
Aircraft N#: Aircraft Make and Model:

Contact Information
Who should we contact for further information and processing on this claim?
Contact Name:
Contact Phone Number: Alternate Phone:
E-Mail Address:

Claim Information
Date of Loss: Location of Loss:
Brief Description of Loss:

Pilot Name (if applicable):


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