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Submit A Claim

If you have a claim to report we encourage you to contact our office directly at 866-621-1770 and speak to an agent.  We have our own Claims Advocates who can assist you with the claims process and file the claim on your behalf.  If you have a question on an existing claim, they will be glad to assist you with information and guidance to the correct resources.

Tab Vines
Claims Coordinator
Office 205-314-0076

  • Commercial Auto Claim Form

    Please fill out the customer contact and/or corporate company information below.
  • Insured Vehicle Driver Information

  • Incident Overview

  • MM slash DD slash YYYY
  • :
  • Other Party Information

  • Incident Location

  • Incident Description

  • This field is for validation purposes and should be left unchanged.