Has your organization suffered a loss, accident or injury?   

To report a claim have your policy number available, as well as the following information:
Who is involved in the claim?  (Name, address, phone number, Insured organization, Drivers and passengers, Injured parties, Witnesses)

What happened?  (Vehicle information, Dwelling/buildings, Personal property/contents, Nature of damage or injury)

When did the loss occur?  (Date and time)
Where did the loss occur?  (Loss location)
How did it happen?  ( Description of loss)

 Contact:
Joyce Insurance Group
1-877-JOYCEINSURANCE
9 N. Main St., Pittston, PA  18640

Or fax to:
 570-655-4668

Claim forms and Instructions

You may download claim forms directly from our site by clicking on the PDF links below.

Commercial Automobile Claim Form (Adobe Acrobat PDF)
 Commercial General Liability Claim Form (Adobe Acrobat PDF)
 Commercial Property Claim Form (Adobe Acrobat PDF)

Accident and Sickness
 Claimant Form – Part 1 (MS Word Document)
Form 3-50(11-94). Top portion must be fully completed and signed by the member presenting the claim. The bottom portion must be completed and signed by an official from your organization.

Accident and Sickness
 Health Care Providers Form – Part 2  (MS Word Document)
Form 3-75(8-92). Top portion must be fully completed by the member presenting the claim. Bottom portion and reverse side must be fully completed by the injured member’s health care provider. 
Disclaimer: This website is not all inclusive. Coverages and eligibility may vary by state. For a complete list of benefits, limitations, and exclusions please contact an agent at 1-888-368-5420 ext. 10303 or by emailing us at info@firesupression-insurance.com.  I understand that any insurance terms and definitions are meant for general informational purposes and not meant as specific advice or recommendations. For detailed information, it is my responsibility to contact "Joyce Insurance Group." I understand that no coverage will be assumed bound or covered until I have received written or verbal confirmation from "Joyce Insurance Group." Generally, this web site is not intended to be a solicitation or an offer to sell in connection with any product or service, nor is the information a complete description of all terms, conditions and exclusions applicable to the products and services described. For complete descriptions of the terms, conditions and exclusions of insurance coverages or other products or services, please review the actual policy. Products and services referenced herein may not be available in all jurisdictions. In the case of specific online applications for certain types of insurance policies, you must be at least 18 years old to apply. You should review Joyce Insurance Group’s online privacy statement and terms of service and pay close attention to the online instructions and disclaimers relating to the particular insurance application you complete. The information contained herein was believed to be accurate at the time it was posted. Joyce Insurance Group periodically updates the information on this Web site; however, Joyce Insurance does not accept responsibility for the timeliness of the information at the time it may be accessed. Links to other Internet sites that are not maintained by Joyce Insurance Group may be accessed through this Web site. Such external Internet addresses contain information created, published, maintained or otherwise posted by organizations and entities independent of Joyce Insurance Group. Joyce Insurance Group is not responsible for the content of those sites nor does it approve, endorse or certify information available at any external site or linked addresses contained herein. This Web site is not intended for the use of persons younger than eighteen years of age.