2975 Westchester Avenue, 4th Floor, Purchase, NY 10577

Phone: 914-358-9750 | Email:

260 West 36th Street – 9th Floor – New York, NY  10018

General Liability First Loss Form

When you file a claim, a CCI specialist will get involved immediately and advocate for you through the entire process until you’ve received your final settlement from the carrier.


Our in-house team of claims experts are specialists in their fields — construction, senior living, education, recreation, and personal property loss, to name a few. So you can take comfort in knowing you’ll be working with someone who has an in-depth understanding of your world, and can help you navigate through the unique complexities related to your loss. And with CCI’s long-standing relationships with the nation’s leading carriers, you can count on us to be a liaison for you, ensuring things happen promptly and efficiently — always with the goal of getting your life back to normal as quickly as possible.

Property Claim:

General Liability Claim:

Auto Claim:

Workers Compensation:

A first report of injury form has been completed:

(To send the completed first report of injury form or to request a blank form send an email to or fax to 914-358-9749)

Please Contact a CCI Claims Representative

for more information and/or assistance.