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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.
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    Max. file size: 59 MB.
    • Insured Vehicle Driver Information

    • Incident Overview

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

    • Incident Location

    • Incident Description

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      Max. file size: 59 MB.
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