Report a Property Claim | AAA Western & Central New York

Report a

Claim

Property Insurance Claim

Your Personal Information

First Name: *

Last Name: *

Primary Phone Number :

Alternate Phone Number (optional) :

Email Address : *

AAA Insurance Information

Policy Number :

Insured First Name :

Insured Last Name :

Claim Information

Date of Loss :

Month

Day

Year

Time of Loss:

hour

minute

Are you able to live in the Dwelling? :

Yes

Did the police / fire department respond? :

Yes

Where there any other involved parties or witnesses? :

Yes

Description of Incident :

What specific property was damaged? :

Is there any other information that you would like to provide? :

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(800) 207-3618
Mon–Sat: 8am–10pm

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Auto
Policy number
Name
Address
Home and work phone numbers
Vehicle information
Passenger names
Name and insurance company of any other drivers involved
Details about the accident
Description of loss and injury report
Police report information (department name, case/report number, citation)

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(800) 207-3618
Anytime: 24/7/365

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