Mang Insurance

Customer Claims Survey Form
You make the difference...
Please take the time to answer a few quick questions. We value you as a customer and want to hear what you have to say.
Please rate your satisfaction with our customer service by rating each category listed below:
 
Please provide your name, address and if possible your policy number.
 
 

Name:

Address:

Email Address(optional):

City: State: Zip:

Policy #:
  Outstanding Excellent Good Fair
Poor
Not
Applicable
Initial Contact With Mang Personnel
Contact with your insurance carrier and their claims adjustor
Timeliness of your Claim payment
Please provide specific comments about the claim service you received or give us suggestions on how we can serve you better.