Report A Claim

The purpose of this form is to submit initial information required for our claims department to begin their process. Once we have received this completed form, a dedicated claims adjuster will contact you for the next steps and any additional questions. Upland cannot obtain and process documents or files from third party sharefile link.

Initial claims submissions can also be emailed to claims@uplandspecialty.com.
*Required Information
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Max file size 10MB.
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Max file size 10MB.
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