File A Claim

You may complete a claim online on the form below. In addition, claims can be filed via our Alinsco Mobile App for the fastest service. Feel free to contact our claims line 24/7 at 1-877-437-5007

Basic Information

Insured - Alinsco Policy Holder










Driver

Insured's Vehicle Description

Insured's Vehicle Current Location

Claimant - Not An Alinsco Policy Holder

Driver

Claimant's Vehicle Description

Claimant's Vehicle Current Location

Facts - Location of Loss

Injuries

Injured Person #1

Injured Person #2

Injured Person #3

Note: Information on any additional injured persons will be taken when we contact you.

Witness Number 1

Witness Number 2