Allianz

File a Claim

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Your Policy {{policyIdString}}{{canceledStatus}}

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Contact Information

Name

{{ClaimTypeValues.fullName}}

Address 1
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City
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State
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ZIP Code
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Primary Email

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Telephone Number
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Mobile Number
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We will use this number to call or text you about your claim. Standard messaging and data rates apply.

Policy Details

{{isRentalCar ? 'Rental Start Date' : isAnnual ? 'Policy Start Date' : isEventTicket ? 'Event Start Date' : isTuition ? 'Term Start Date' : isRail ? 'Insurance Effective Date' : isSeason ? 'Policy Effective Date' : isSeries ? 'Series Start Date' : isSession ? 'Session Start Date' : 'Departure Date'}}

{{ClaimTypeValues.policyPlanDepartureDate | myDate}}
{{isRentalCar ? 'Rental End Date' : isAnnual ? 'Policy End Date' : isEventTicket ? 'Event End Date' : isTuition ? 'Term End Date' : isRail ? 'Insurance Expiration Date' : isSeason ? 'Expected Season End Date' : isSeries ? 'Series End Date' : isSession ? 'Session End Date' : 'Return Date'}}

{{ClaimTypeValues.policyPlanReturnDate | myDate}}

Departure Date
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Return Date
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Claim Details

Did the incident occur during your event or activity (i.e. after your original start date)?

Yes

No

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Type of Claim

Select the claim type(s) below that best fits why you are filing a claim. For a description, click the “?” next to each claim type.

{{coverage.Name}}

{{coverage.Description}}

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Terms, conditions, and exclusions apply. Please see the Certificate of Insurance/Policy for full details.
*CDI coverage is not available to NY and TX residents.

Insurance benefits underwritten by BCS Insurance Company, Jefferson Insurance Company or Nationwide Mutual Insurance Company and Affiliated Companies, depending on insured’s state of residence and plan type. Plan(s) only available to U.S. residents and may not be available in all jurisdictions. Allianz Global Assistance and Allianz Travel Insurance are brands of AGA Service Company. AGA Service Company is the licensed producer and administrator of these plans and an affiliate of Jefferson Insurance Company. The insured shall not receive any special benefit or advantage due to the affiliation between AGA Service Company and Jefferson Insurance Company. Non-insurance benefits/products are provided and serviced by AGA Service Company. Consumer is responsible for charges incurred from outside vendors for assistance or concierge services. Contact AGA Service Company at 800-284-8300 or 9950 Mayland Drive, Richmond, VA 23233 or customerservice@allianzassistance.com.