Environmental Liability (Mold) Claim Form


To report a matter for coverage under the Environmental and Property Policies, please click the button below to complete the form.  When you submit, you will receive an email copy of your form, and it will auto-distribute to Joe Liscandri and Chris Roselli of Qual-Lynx, your JIF Administrators office, and a representative from Beazley Environmental, the Environmental Insurance carrier.  

Steps to Report the Claim:

  1. Click the button below to complete the form.
  2. Call Joe Liscandri from Qual_Lynx at (609) 402-5218 to confirm receipt.
  3. Call Beazley at (800) 347-4384​ to confirm receipt.

CLICK HERE TO COMPLETE THE CLAIM FORM

Click Here to view the Beazley Policy Conditions re: your Claim


For additional assistance, contact one of the JIF Administrators:

Craig Wilkie Phone: (856) 446-9128
Email: craig_wilkie@riskprogramadministrators.com

Scott Tennant  Phone: (856) 446-9181
Email: scott_tennant@riskprogramadministrators.com



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