Submit a Claim

To submit a new claim to the Williams & Partners team, please fill out the online form below or email us directly with your new claim referral at:

Disclaimer: The content of this web site and any attached or referenced pages have been written or gathered by Williams & Partners for information purposes only.

Caution: Do not use the "Submit a Claim" interface to send any privileged or confidential information. Internet messages can be intercepted.

* Required Field

Company Information

Claimant Information


What kind of representation do you have?

Additional Information

Claim Type


Policy Details

Optional benefits purchased:


Collateral benefits available?


Benefits paid to date?


Documentation Received (Please forward to us)