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: claims@wpfa.ca

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

Representation

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)