I know that dealing with a claim is stressful, so I want to be there for you to help you through the process and get you back to your normal routine.

In the event of a claim, contact your broker – the McGoey Bros are here for you. For an after-hours emergency, please contact either of my brothers: Mike McGoey at (416) 949-5309 or Tod McGoey at (416) 435-2796

How does it work?

Step One

Step Two

Step Three

Step Four

Policy Holder Information

Policy Number:
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Home Phone:
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Where should we contact you:
  • Please Select
  • Home
  • Office
Please Select
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Primary Contact Person:
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Work Phone:
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Best time to contact you:
  • Please Select
  • Morning
  • Afternoon
  • Evening
Please Select
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Claim/Loss Information

Date of Loss or Accident:
Select a date
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Address:
Street Address
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City/Province:
City/Province
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Please provide as much detail as possible regarding the claim in the space provided below. A reporesentative will contact you shortly. (Max 500 characters):

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Police Contacted:
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Officer's Name:
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Officer's Badge Number:
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Report Number:
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Name of your broker:
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Policy Holder Information

Policy Number
Policy Number
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Field is required!
Home Phone
Home Phone
Field is required!
Field is required!
  • Where should we contact you?
  • Home
  • Office
Where should we contact you?
Field is required!
Field is required!
Primary Contact Person
Primary Contact Person
Field is required!
Field is required!
Work Phone
Work Phone
Field is required!
Field is required!
  • When should we contact you?
  • Morning
  • Afternoon
  • Evening
When should we contact you?
Field is required!
Field is required!

Accident Information

Who Was Driving
Who was driving?
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Field is required!
Date of Accident
Date of loss or accident
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Field is required!
Time of Accident
Time of accident
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Field is required!
Vehicle Year
Vehicle Year
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Field is required!
Vehicle Make
Vehicle Make
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Field is required!
Vehicle Model
Vehicle Model
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Field is required!
Is the vehicle drivable?
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If no, where can the vehicle be inspected?
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Field is required!
Please provide as much detail as possible regarding the claim in the space provided below. A representative will contact you shortly. (Max 500 characters):
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Field is required!
Did any injuries result from the accident?
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If yes, please provide names, addresses, phone numbers and the extent of the injuries. (max 500 characters):
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Other Driver Information

Others Name
Full Name
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Others number
Contact Phone
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Others Insurance
Insurance Provider
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Field is required!
Others Licence
Licence Plate Number
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Others Vehicle Year
Vehicle Year
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Field is required!
Others Vehicle Make
Others Vehicle Make
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Field is required!
Others Vehicle Model
Vehicle Model
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Field is required!

Location of Accident

City
City/Province
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Field is required!
Were there witnesses?
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Field is required!
Police Contacted
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Field is required!
Officer Name
Officer Name
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Field is required!
Badge Number
Officers Badge Number
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Field is required!
Report Number
Report Number
Field is required!
Field is required!

Witness Details

Witness Name
First Name
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Field is required!
Witness Phone
Contact Phone
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Field is required!
Witness Email
Email Address
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Field is required!
Witness Last Name
Last Name
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Field is required!
Witness Work Phone
Work Phone
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Field is required!
Broker Name
Broker Name
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Field is required!