Agency Claim Report Card

Name of Policyholder *

Email address *

Thank you for taking the time to complete this brief claim service report card. We want to meet or succeed your expectations. Sometimes we simply need to ask if we are succeeding.

1 - Your recent claim required notification of our agency and/or the carrier. Were you satisfied with the reporting progress? *

Very SatisfiedSatisfiedNeutral / UnsureMy Policies are with another carrier thru Werle & Rushes AgencySomewhat DissatisfiedCompletely Dissatisfied

2 - The Claim Department is expected to call you to confirm your loss report and explain the claim handling process. Were you satisfied with this part of the claim process?

Very SatisfiedSatisfiedNeutral / UnsureSomewhat DissatisfiedCompletely Dissatisfied

3 - Overall, were you satisfied with your claim settlement experience?

Very SatisfiedSatisfiedNeutral / UnsureSomewhat DissatisfiedCompletely Dissatisfied

Please add your personal comments

Verification