J.F.Terry Associates, Inc. : Independent Insurance Adjusters

Contact Us

1-800-243-7238
24 Hour Immediate Service

1-800-628-0987 (Fax )
claims@jfterry.com

Locations

Delaware
Wilmington-Dover

Maryland
Baltimore

New Jersey
North Jersey (Old Bridge)
Central Jersey (Princeton)
South Jersey (Atlantic City, Cape May)

New York
New York City

Pennsylvania
Newtown Square (Home Office)
Harrisburg
Philadelphia
Pittsburgh

Assignments

To contact any of our offices regarding your assignment, please call: 800-243-7238 or email directly to: claims@jfterry.com * required field


Client Information

*	Full Name:
	Company:
*	Address:
*	City:
*	State
*	Zip:
	Phone:
	Fax:
*	E-Mail Address:
*	Date of Loss (MMDDYYYY)
	Claim Number:



Claim Loss Information
*	Describe Loss:
	Client Instructions:


Claimant Information
	Name:
	Address:
	City:
	State:
	Zip:
	Social Security #:
	Driver's License #:
	Home Phone:
	Work Phone:
	Cell Phone:
	Comments:



Insured Information
	Name:
	Address:
	City:
	State:
	Zip:
	Home Phone:
	Work Phone:
	Cell Phone:
	Comments:



Police
	Officer Name:
	Phone:
	Report #:


Witnessess
	Name:
	Address:
	City:
	State:
	Zip:
	Phone:


Passengers
	Name:
	Address:
	City:
	State:
	Zip:
	Phone:


Additional Information
	Please identify any specifics to be completed:



Submit Assignment