Jan 09, 2017
Allianz - hero-generic
File a Claim
Since your claim has already been submitted, you cannot make changes.
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Your Policy {{policyIdString}}{{canceledStatus}}

Your Policy {{policyIdString}}

Preferred Payment Method

Please let us know how you would like to be paid if your claim is eligible for reimbursement.

  • Payment Type is required.
  • Please note: it may take up to 48 hours for the direct deposit to be applied to your account.

  • Payments will only be made to one of the policy insureds. Please select the appropriate account holder's name.

  • Name on Account is required.
    • ?
      Routing number is nine digit numeric number.
      Routing Number is Required.
  • Account Number is Required.
    Please check your Account Number.
  • Name As Appears on Card is Required
  • Debit Card is Required
    The card number entered is not a valid debit card number. Please enter a new number or select a different payment method.
    • Expiration Month is Required
    • Expiration Year is Required

    Billing Address

  • Address1 is Required
    Please check your Address1
  • Please check your address
  • City is Required
    Please check your City
  • State is Required
  • Zipcode is Required
    Please Check your Zipcode

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