File A Claim

Please call our claims line 24/7 at 1-877-437-5007 if you need to file a claim for faster service.
You may complete a claim on-line, but it will diminish response time.

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