Please let us know if your organization has experienced any issues regarding the claims handling process, positive or negative. Below you can choose from an online or print friendly Claims Service Questionnaire.

If you have any questions or suggestions, please contact Denise Bassi at 1-800-622-8272 ext.5116 or by emailing denise.bassi@siegelagency.com.

Let Us Know How We’re Doing…

Take the survey online or download a copy and mail and fax it back to us.
Online: Take Our Claims Survey Online
Print a Copy: Downlad Our Claims Survey

Please return the completed form via mail or fax to:

Mailing Address:
Irwin Siegel Agency, Inc.
25 Lake Lousie Marie Rd.
Rock Hill, New York 12775

Fax Number:
845-796-3661