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Fill out as completely as possible and click Submit to send the loss report to our Marine and Transportation Specialty Claims Unit (MATSCU). Alternately, you can print this page, complete the form and fax it to the MATSCU at 1-877-629-6905.

Below please find the California Consumer Privacy Act (“CCPA”) “At Collection” privacy notice for California residents, which provides you with specific information regarding the CCPA, the information Chubb collects about you and how Chubb uses that information.
Chubb Group California Consumer Privacy Act Consumer “At Collection” Privacy Notice Information for California Residents

Claim Reported By:

 
 
 
 
 
 
 
 
 
 

Details of Insurance (if known)

 
 
 
 
 
 
 

Details of Shipment (if known)

 
 
 
 
 

Contact Person for Further Details (if other than individual shown at top):