Claim Reporting Instructions

1. Items with * must be completed. Please complete as much of the questionnaire as possible.Upon completion, please click the blue SUBMIT button .
2. Leave the information you do not have blank.
3. Send any additional information or documents related.
4. Fax or email additional pages (if applicable) to 714-546-4457 or Claims@RSI-Ins.com. Please use a cover page and put attention Claims Dept.

Information

Pick Up

Delivery

Cargo Loss Information