Report A Claim

If you are unable to contact your agent, you may submit your claim online. For Pella Mutual to be able to process your claim please complete the following online form and click the submit button on the bottom of the page. Please print a confirmation page for your records.

Policy Number (if available):
Policyholder Name:
Date of Loss:
Time of Loss:
Address:
City:
State / Zip:  
Contact Person:
Home Phone:
Cell Phone:
Best Time to Call:
Fax Number:
Reported By:
Type of Loss: Fire
Lightning
Wind
Hail
Water
Smoke
Theft
Vandalism
Liability
Other
Description of Loss:
Describe Damages:
Reported to Police or Fire Dept: Yes
No
Other Information:

If you are not contacted by the end of the 2nd business day please contact our office to verify your claim information was received. (1-877-868-2952)