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GarageHSM2023-12-19T11:17:52-06:00

REPORT A CLAIM

Garage

Reporting Party Information

Reporting Party Name(Required)

Loss Detail Information

MM slash DD slash YYYY
Location of Loss

Insured Detail Information

Address
Contact Name(Required)

Agent Detail Information

Contact Name
Address

Drivers

Insured Driver Address
Claimant Driver
Claimant Driver Address
Max. file size: 512 MB.
If your file is more than 512 MB, please contact your assigned claim adjuster for further instructions.

Address

15301 Dallas Parkway, Ste 500
Addison, TX 75001

Phone

Toll Free: 800-597-7790
Fax: 800-337-8131

Email

info@appliedclaims.com
newlossreporting@appliedclaims.com

Fraud Reporting

Fraud Hotline: 800-342-3504
fraudreporting
@appliedclaims.com

Contact Applied Claims Group:
14001 Dallas Parkway, Suite 700, Dallas, TX 75240

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