Forms
Report A Claim
Claim Forms are only intended for customers of Clemens Insurance and should not be utilized by any 3rd party.
Claim Forms are only intended for customers of Clemens Insurance and should not be utilized by any 3rd party.
Mailing Address:
P.O. Box 128
Bloomington, IL 61702
Street Address:
2806 E. Empire St
Bloomington, IL 61704
MONDAY - FRIDAY
8:00 AM - 4:30PM
Please note completion of any request(s) for information does not constitute the purchase of insurance. No coverage may be added, changed or bound as a result of submitting a request for information or quotation of insurance. All coverage must be confirmed by the agency in writing subject to an acceptable signed application meeting the underwriting guidelines of the Insurance Company.