Submit a Referral

Know someone who needs help with their insurance claim? Refer them to Kieper Universal Claims and help them get the settlement they deserve.

Trusted by 1000+ Families in the Capital District

Help Someone You Know Get the Settlement They Deserve

If you've had a positive experience with Kieper Universal Claims, the best compliment you can give us is referring friends, family, or neighbors who need help with their insurance claims.

Expert Assistance

Your referral will receive the same personalized, professional service you experienced

Trusted Advocacy

30+ years of experience fighting for maximum insurance settlements

Family-Owned Care

Every client is treated like family—with compassion and dedication

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Submit a Referral

Fill out the form below with information about the person you'd like to refer. We'll reach out to them promptly to offer our assistance.

Your Information

Your Name *

Your Phone

Referral's Information

Referral's Name *

Referral's Phone *

Referral's Email

Referral's Address (Optional)

Claim Details

Type of Damage *

Brief Description of the Situation *

Has a claim already been filed with insurance?

Yes No Not Sure

Additional Notes (Optional)

All information is kept confidential and will only be used to contact your referral about their insurance claim.

Thank You for Your Trust!

We appreciate you thinking of us and will take excellent care of your referral. They'll receive the same dedicated service you experienced.