File a Claim

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Policy Holder's Name or Company Name

Optional

First Name

Required

Last Name

Required

Type of Policy

Required

Policy Number

Optional

Preferred method of contact

E-Mail Address

Required

Telephone

Optional

Fax

Optional

Location of Claim. Address

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ZIP / Postal Code

Required

Date Claim Occurred

Optional

Describe Claim. Please be specific and include time, and chain of events

Optional

Other Parties Involved. Please be specific and include names and methods of contact if available

Optional

Submission Validation

Required

Enter the Validation Code from above.

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

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955 McArthur Drive | Alexandria, LA 71303 Phone: 318-445-3515 Email: office@Turrentine.com