Report a Claim - Auto Insurance

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Policyholder Name:
Date of Loss:
Location of Property:
Type of Claim: (wind, hail, fire, theft, etc.)
Description of Damage:
Best Contact Number:
Contact Email Address
Have temporary repairs been made?	Yes No

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Phone: 316-283-0096
Fax: 316-283-2444

Phone: 316-283-0096
Toll Free: 888-283-0096
Fax: 316-283-2444

129 E. Broadway, Suite 200
P.O. Box 547
Newton, Ks 67114-0547


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Call us! 316-283-0096 Toll Free: 888-283-0096
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