Travelers of Massachusetts

It may be necessary for you to provide us additional information about your auto or homeowners Loss.

A claim representative may instruct you to obtain a form to provide this additional information.

You will be directed to this area of our web site should you wish to expedite the process of your claim to obtain a form.

If you have any questions or need assistance please contact your agent or a Travelers of Massachusetts claim representative.

Accident Report

Affidavit of Vehicle Theft

Application For Benefits

Bailment Statement

Forgery Affidavit-Corporate

Forgery Affidavit - Individual

Fraud Advisory (Albanian)

Fraud Advisory (English)

Fraud Advisory (Portugese)

Fraud Advisory (Russian)

Fraud Advisory (Spanish)

Fraud Advisory (Vietnamese)

Lost Check Affidavit - Corporate

Lost Check Affidavit - Individual

Medical Information Consent

Receipt and Release

Repair Certification

Wage and Salary Certification

Witness Statement


Travelers of Massachusetts is the brand name for personal lines business in Massachusetts. Auto policies are underwritten by The Premier Insurance Company of Massachusetts, an independent, single-state subsidiary of The Travelers Indemnity Company. Homeowners policies are underwritten by The Travelers Indemnity Company, The Phoenix Insurance Company, the Standard Fire Insurance Company and Travelers Commercial Insurance Company.		Contact Us \| Privacy Notice \| Legal Notices © 2008 The Travelers Companies, Inc. All rights reserved. © 2008 The Premier Insurance Company of Massachusetts. All rights reserved.

Claim Forms

Travelers of Massachusetts