Report a Disaster to Vertafore

Use of this page is limited to subscribers of the Disaster Recovery Service for AMS 360, AfW and Sagitta Browser and is for reporting covered disasters only.

Provide the information below and select the "Submit" button to report a disaster to Vertafore.  If you need assistance completing this form call 1.800.299.1415.

Your Name:
Agency Name:	*
City, State:	*
Vertafore Management System:	* SELECT ONE: AMS 360 AfW Sagitta Browser
Vertafore Customer #:
Phone # where we can reach you:
Email address where we can reach you:
Do you do backups over the Internet with LiveVault?	SELECT ONE: Yes No Don't Know
Have you sent your backups to Vertafore or contacted LiveVault? If Not, please do so ASAP.	SELECT ONE: Yes No
Mailing Address and Content List:	Mailing Packet Information
Comments:
*Denotes a required field.

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