Official State of Rhode Island website

State of Rhode Island Attorney General Peter F. Neronha

Electronic Insurance Assistance Request

Please read the following information first

Completing the form below will allow you to contact the Office of the Attorney General. Certain information is required to process your message. Because of the large volume of e-mails received daily, there may be a delay in responding to your message.

State law does not authorize the Attorney General to give individual citizens legal advice or opinions on statutory interpretation, or to act as their private attorney. The Attorney General serves as the state's chief legal officer responsible for providing legal representation to the State of Rhode Island and protecting the public interest.

Questions with a red * are required.

This web form utilizes a CAPTCHA function to prevent spam submissions. If you are experiencing difficulty using this form, please call 401-274-4400 to submit an insurance assistance request.

Your Information
Address
Insurance company you are seeking assistance with
Will you provide consent for us to contact the insurance company you are seeking assistance with?
If your response is no, we may be prevented from taking any action on your complaint.
1500 word(s) remaining
Have you complained to the business?
1000 word(s) remaining
1000 word(s) remaining
Did you sign any documents?
1000 word(s) remaining
List actual loss only.
Do you have an attorney representing you in this matter?
Is there any legal action pending?
1000 character(s) remaining
Statistical Information

This information is voluntary and will help further assist consumers in the future.

Your age
Military/Veteran
How did you hear about us?
500 word(s) remaining

Declaration:

By submitting this form electronically, I swear to, or affirm, the facts and accuracy of all statements, answers, representations, and allegations contained herein, including all statements hereto attached.

CAPTCHA
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This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.