Claims

Claim Forms

Get the form you need, when you need it.

Stuff doesn’t just happen during business hours. Anything can happen at any time – and it often does so when it’s least convenient. That’s why we take steps to make your life easier in stressful times. If, like many people, you prefer to complete paperwork online instead of by hand, this is the place for you.

The forms below may be submitted online with the exception of the Report of Injury PDF form. This form can be typed on directly, and we’ve highlighted the parts you need to complete. When you’re done you can save it, then email it to us at claims@connell.com or print it and fax it to us at 417-973-0720.

Automobile Loss Notice
Property Loss Notice
General Liability Notice of Occurrence
First Report of Injury – Missouri
First Report of Injury – Arkansas
First Report of Injury – Kansas
First Report of Injury – Iowa