McCusker & Company - Claim Center

		Claim Center

Welcome to the Claim Center portal for McCusker & Company clients.

If you require additional assistance please contact our call center at (800) 734-0819 x 109

Please fill in the form below as complete as possible. Required information will be identified.

Important! To receive maximum reimbursement in a timely manner, read through the Claim Procedures section of the Dealer Guide Book you recieved when you signed up as a reseller. Here you will find:

Information regarding warrantable failures and other conditions, which can determine if a claim is to be paid.
Examples of claim processing situations that happen daily, resulting in reduced or rejected claims.
Repair or replacement guidelines.
Warranty repair and claim procedures for both standard and extended warranties.

Direct Pay Claim Verification: Must include name and person who which the claim is to be paid directly!

		Claim Form Submission - Please Complete All Fields

Type of Claim

Contract#:
*
Customer Name:
*
Customer Last Name:
*
Customer Address:
*
Customer City:
*
Customer State:
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Customer Zip Code:
*
Product Type?:

Product Description:
*
Product Serial Number?:
*
Reason for Claim:
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Claim Resolution:
*
Claim Amount ($)
*
Parts Costs $:
*
Labor Costs $:
*
If Applicable Shipping $:
*
Contract Purchase Date:
*
OEM Warranty Start Date:
*
OEM Warranty End Date:
*
Person Submitting Claim:
*
Submitter's Phone #:
*
Submitter's Email
*

Pay to the order of?:
Business Name
*
Attention:
Address1
*
Address2
*
City
*
State
*
Zip
*
Attach Receipt/Claim:

upload new file

Upload file.

Security code:
*
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