PLEASE READ FIRST
Please complete all fields on this form to complete your initial claim notification under the Wells Fargo Insurance Program.

Once complete and before pressing "Submit Claim Details", please download the Claim Form in your preferred format using the buttons below. Once downloaded, the Claim Form can be completed and uploaded using the Supporting Documents file upload facility at the bottom of this page or returned by email to or by fax to +1 212 363 9726.


Your Details
Cargo Location
Cargo Details
Supporting Documents
Please choose up to 20 documents to support the claim (Total maximum file size 10MB)

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