If this is an emergency claim, please call 1 (800) 466-9165 and advise the operator that the claim requires the utmost attention, and you need an immediate response. If the claim is not an emergency, please complete the form below and our office will contact you within 24 hours.

Raphael & Associates Marine Claim Form
  • Name*
  • Street*
  • City*
  • ZIP*
  • Home Phone*
  • Work Phone*
  • Cell Phone*
  • Policy Number*
  • Vessel Name*
  • Vessel Year*
  • Vessel Make*
  • Vessel Number:*
  • Captain's Information*
  • Date of Loss*
  • Description of Occurrence*
  • Location of Occurrence*
  • Additional Comments*

Your claim is very important to the Raphael & Associates team, and it is of the utmost importance that we not only meet but exceed expectations. Please advise us if you have any questions of concerns that we can address.

Raphael & Associates is a TPA and claims adjusting company internationally recognized for its exceptional service and unsurpassed reputation of nationwide claims handling. We understand the importance of adapting to the demands of a dynamic market and tailor our services to our client's specific needs. Our mission is simple: to provide outstanding service, extraordinary professionals and the best that technology has to offer.

Raphael & Associates

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