Claims

Preliminary Insurance Policy Claim Form

Producer Login ID

Producer Name

Producer Email

Name of Person Submitting this Claim

Your E-Mail

Your Telephone No

Name on Policy

Contact Name

Contact Telephone No

Alternative Phone

Fax

Contact E-mail

Property Type

Date of Loss

Policy Number

Policy Effective Date From

Policy Effective Date To

Unit #

Property Address

Address Continued

City

State

CQuoteState

Zip

Detail List of Damages

Is insured able to live in the home in its current condition?

Yes

Send Copy to My Email

Send Copy to Contact Email

Verify

Southern Alabama Insurance
Physical Address 2701 East 2nd Street Gulf Shores, AL 36542		Mailing Address P.O. Box 3768 Gulf Shores, AL 36547
Phone: 251-968-7146 Fax: 251-968-5438

Address: 2701 East 2nd Street Gulf Shores,AL 36542	Mailing Address: PO Box 3768 Gulf Shores, AL 36547	Phone: +1 251-968-7146 +1 251-968-5438
Email:admin@southernalabamainsurance.com		Make A Payment