Report a Claim

Please complete all of the forms below, where applicable. This information will help us access the correct policy. Report a claim online here if you are one of the following:

Policy Holder
Were in an accident with a Hallmark policyholder
Are an insurance agent/representative
Are an attorney or healthcare provider

Claims Notice of Loss

Does this claim involve a fatality or environment spill?

Yes

Name

First

Last

Primary Phone

Secondary/Alternative Phone

Policy #

Description of the Loss

Date of Occurrence

Time of Occurrence

Location of Occurrence

List Insured Vehicle/Property involved

Describe what happened & damage

Provide Injury Descriptions and Injured Party Name(s)

Number of Occupants Involved (if applicable)

Complete if the Occurrence involved another Vehicle

Other Vehicle Owner Name

Phone

Describe Vehicle Damage, Year, Make & Model

Attach photos of the damage or corresponding forms

Maximum file size: 2.1MB

reCAPTCHA

Start Over

Report a Claim

Description of the Loss

Complete if the Occurrence involved another Vehicle

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