Loss Claim Form

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

Por favor seleccione su idioma.

Loss Claim Form

Before submitting a claim to PRECO, please consider that the Cooperative “does not ensure, guarantee or warrant that it will provide adequate, continuous or non-fluctuating Cooperative service. The Cooperative is not liable for damages, costs or expenses, including attorney fees or legal expenses, caused by the Cooperative providing inadequate, noncontinuous or fluctuating Cooperative services, unless the damages, costs or expenses are caused by the Cooperative’s gross negligence or willful misconduct. The Cooperative’s responsibility and liability for providing a Cooperative service terminate upon delivery of the service to a member.” (PRECO Bylaws, Article I, Section 6)

If you wish to file a claim, complete the form below and submit any receipts and/or repair estimates to support your claim.

Member Information

First Name

Last Name

Enter your PRECO account number

Phone

Service Address

Address Line 2

City

Zip/Postal Code

Event Details

Date the event occurred

List description of damaged items(s), quantity and cost

Describe the event which caused the damage to your appliance, equipment or property

Upload supporting receipts, estimates, documents: JPG or PDF

Save my progress and resume later | Resume a previously saved form

Contact Information