For Our Customers



Accident Report

Use this form to report minor injuries and damage to property not owned by a Church Mutual customer.

This form should not be used to report a workers' compensation claim or for injuries or damage caused in an auto accident. Different online forms are available to file a workers' compensation claim and to report an auto accident. If you are a Church Mutual customer and your own property was damaged (except in an auto accident), please complete the online property form.

If this accident caused serious injury or death, please do not use this online form to report the claim. Instead, call us immediately at (800) 554-2642, then select menu Option 2.


What is your relationship to Church Mutual for the circumstances of this claim?

I am or my organization is insured with Church Mutual and I want to file a claim electronically.
I am making a claim against a Church Mutual customer.