Claims Submission | National Investors

If you would like to print this claim form and submit manually, please download and print the form.

Please be aware that an on-screen message that the submission has been sent will be displayed if the submission is successful, and a copy of this submission will be forwarded as a receipt to the email address included in the "claimant email" field. If you do not receive a on-screen message that the submission has been sent, then the submission was not successful. The printable version of the claims submission form linked above may also be manually emailed or faxed.

If you do not receive a written acknowledgement of your claim from National Investors Title Insurance Company within one week of the submission of your claim, please call to confirm the receipt of your claim.

* required field

Submission Number

Policy Number

Date of Policy or Commitment

Please enter date in format MM/DD/YYYY

Claimant Name

Claimant Email

Confirm Claimant Email

Insured Name 1

Insured Name 2

Claimant Address 1

Claimant Address 2

Claimant City/Town

Claimant State

Claimant ZIP/Postal Code

Claimant Office Phone

Claimant Home Phone

Claimant Mobile Phone

If different than address above:

Insured Property Address 1

Insured Property Address 2

Insured Property City/Town

Insured Property State

Insured Property ZIP/Postal Code

Attorney Representation

If you are represented by an Attorney, please provide the attorney's information. Note: Initial response to your claim will be made to your attorney.

Are you represented by an attorney?

Yes

Attorney Name

Attorney Email

Confirm Attorney Email

Attorney Address 1

Attorney Address 2

Attorney City/Town

Attorney State

Attorney ZIP/Postal Code

Attorney Phone

Attorney Fax

Claim Details

Please provide a description of your claim

Detailed Description

Date You Received Notice of Alleged Title Problem

Please enter date in format MM/DD/YYYY

Contact Information of Other Parties

Current Status of Alleged Title Problem

Have you been sued?

Yes

Please Note: If you have been sued, a copy of the Summons and Complaint, and, if applicable, the Answer filed on your behalf must accompany your Notice of Claim.

If yes, please provide the date you received papers

Please enter date in format MM/DD/YYYY

If yes, has anyone filed a response of your behalf?

Yes

Comments

Attachments

One file only.
8 MB limit.
Allowed types: txt, pdf, doc, docx, ppt, pptx, xls, xlsx.

NOTE: Attachments to this email are limited to a total size of 2 MB. If you have additional documents, please forward them separately, to newclaims@invtitle.com and reference the policy number or claimant name in the body of the email.

If "Submit Electronically" is selected above, then continue.

Please attach documents to your submission here. Please include, if applicable:

Copy of Your Policy
Copy of Summons and Complaint, including exhibits, if you have been sued.
Copy of any answer filed by you or on your behalf.
Any other correspondence or documents related to this matter including letters, emails, surveys, etc.

Electronic Signature

Signature 1

Date 1

Please enter date in format MM/DD/YYYY

Signature 2

Date 2

Please enter date in format MM/DD/YYYY