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We recognize that the claims process can be frustrating. Accidents and other losses cost time and money, so our goal is to find an equitable solution as quickly as possible. If you need to report a new loss or simply have a question about an existing claim, you can reach one of our claims experts at :

(844) 238-4486

Or Submit a Claim Online

Policy Number *

Name *

First

Last

Phone Number *

Date of Birth//

License/Matricula/ID #

State or Country

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email

Date of Accident *//

Please enter the date when the damage occurred.

What street or intersection did accident occur?

EX: Use any gas stations/Stores/ landmarks that may help locate street or intersection

What's the Year/Make/Model/Color of your vehicle?

EX:2020 Chevrolet Silverado 1500 black

Where is the damage to your vehicle?

Was there another vehicle involved?

Yes
No

What's the Year/Make/Model/Color of the other vehicle?

EX:2020 Chevrolet Silverado 1500 black

Where is the damage to the other vehicle?

What happen in this accident?(please be descriptive and use street names and vehicle information)

EX: I was on the far right lane on ross ave and 75 service rd. in Dallas Texas when your insured vehicle 2010 Tahoe rear-ended my 2005 Toyota Camry causing damages to my rear bumper with their front bumper

Were there any injuries to any party involved?

Yes
No

Who was injured?

Were the police contacted

Yes
No

What police department was contacted?

Police Report Number

Do you have contact information for the other parties involved?

Yes
No

Other Party Name #1

First

Last

Other Party Phone #1

Other Party Email #1

Would you like to add another contact?

Yes
No

Other Party Name #2

First

Last

Other Party Phone #2

Other Party Email #2

Would you like to add a 3rd contact?

Yes
No

Other Party Name #3

First

Last

Other Party Phone #3

Other Party Email #3

Would you like to add a 4th contact?

Yes
No

Other Party Name #4

First

Last

Other Party Phone #4

Other Party Email #4

Please upload copies of any Accident Scene Photos, Vehicle Photos, Police Reports, Letters, Estimates, or any other documents you may have.

Click or drag files to this area to upload. You can upload up to 15 files.

Allowed file types are .png, .gif, .jpg .doc, .xls, .pdf

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