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File A Claim
Need to report a claim? Call 1-844-287-2236 or file your claim by answering the questions below.
National General Insurance Policy Number
*
Name of person reporting claim
*
How were you involved in the loss?
Select
Claimant
Agent
Insured
Other
Loss Type
Select
Auto/RV
Homeowner
Email Address
*
Policyholder's Name
*
Street Address
*
City, State, Zip
*
Select
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
DC
Policyholder Phone
*
Date and Time of Loss
*
Location of incident
*
City, State, Zip
*
Select
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
DC
Describe how the incident occurred
*
Did the police respond?
Select
Yes
No
If yes, Department Name and Report Number
Property Damaged
Insured Vehicle:
Year
Make
Area of Damage
Driver Name
Claimant Vehicle:
Year
Make
Area of Damage
Driver Name
Claimant Name
Claimant Phone
Street Address
Mailing City, State, Zip
Select
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
DC
Other Property Damage
Additional Comments
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