| First We Will Be Best h Then We Will Be First | ||
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Midwest Insurance Corporation |
Richardson - Hanson |
Vondracek - Hotz |
| Insurance Professionals Serving You for Over 25 Years | ||
| Home | Services | Locations | Staff | Contact Us |
| Report a Claim | Companies We Represent | Business Links | Privacy Policy |
| MAKE A CLAIM | |
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Please call 1-800-729-4341
or 515-382-3541
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| Insured Name | |
| Insured Address-City-State-ZIP
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| Home Phone # | |
| Work Phone # | |
| Policy Number | |
| Date and Time of Loss | |
| Location of Loss | |
| Authority Called? | If yes--Which Department? Case Number? |
| Please provide a clear description of loss and specific cause of damage. | |