Please call 800-711-4280
or email firstname.lastname@example.org
to request a claim form. Once you have completed the claim form, you will be required to provide Proof of Loss.
This will include:
1. The fully completed claim form.
2. A copy of the Auto Policy, showing Your Covered Vehicle is insured.
3. A copy of the Auto Policy claim from the auto insurance company showing payment for the Loss, with the amount paid and the Deductible of the Auto Policy.