Request to Know – California Residents

Please complete the form below to request information regarding the personal information Crum and Forster may have collected about you. Information you submit using this form will only be used to process and respond to your request. Please note, we are required to maintain a record of your request and our response for two (2) years following our receipt.

Address(Required)
Date of Birth(Required)
I am making a request to know the:
Are you the consumer mentioned above?
If you answered "No" to the question above, please complete the following. Note, if you are not the Consumer, you will need to provide the Consumer's written authorization to act on the Consumer's behalf.
Authorization attached
Please identify the format in which you would like us to respond to your request.
By signing below, I certify that the information provided is correct and that I am authorized to make this request.
Submitted by:
Please click submit to return this form electronically or return this completed form by post or email.

Crum & Forster
Attn: General Counsel
P.O. Box 1973
305 Madison Avenue
Morristown, NJ 07962
email: [email protected]