Please complete this form and select the SUBMIT button at the bottom of the page.
You will will be contacted regarding your claim report very soon.

 

PLEASE NOTE:  

WE MAY NEED TO CONTACT YOU FOR ADDITIONAL INFORMATION. PLEASE DO NOT MAKE ANY REPAIRS OR GUARANTEE PAYMENT TO ANY OTHER PARTY UNTIL AL SHANK INSURANCE OR AN INSURANCE COMPANY ADJUSTER CONTACTS YOU. THANKS!

 

Contact Information

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Report a Claim

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Please provide a description of what happened.  
Did any damages or injuries occur?  
What daytime phone number can you be contacted at?  
Is there any additional information you think we should know?  

We appreciate the opportunity to serve your insurance needs!

The information contained herein is copyright © 2001 Al Shank Insurance, Inc.