Claim filing form

File a claim

bikeshield.bike@gmail.com
NO CLAIMS WILL BE PAID WITHOUT PRIOR AUTHORIZATION
Before you start, please have ready

-          Picture or file of purchase receipt

- Picture or file of estimate

-          Picture of the bicycle with a clean back ground

-          Picture of the frame number

-          Pictures of broken/damaged bicycle part(s)
Date

MonthDayYear
Date
Policy number*
Personal information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code