Submit A Claim

Submitting a claim is as easy as answering the question below and then filling out the form that follows.

Are you insured with American Alliance?    Yes    No

Basic Information

Driver of Vehicle InformationCopy Vehicle Driver's Address From Above

Owner of Vehicle InformationCopy Vehicle Owner's Address From Above

Is the Driver Scheduled on the policy? Yes No (required)
Is the Unscheduled Driver a member of the Named Insured's Household? Yes No (required)
Was operation of vehicle with permission of owner? Yes No (required)

Description of Accident

Was there intoxication involved? Yes No (required)
Did the police respond? Yes No (required)
Was a police report made? Yes No (required)
Was a ticket issued? Yes No (required)
Did an ambulance respond? Yes No (required)
Were there injuries to the Insured? Yes No (required)
Were there injuries to the Claimant? Yes No (required)

Producer Login

Customer Area

Please click here to make a payment, schedule payment reminders and view/print policy documents.

My Policy
Submit A Claim
Submit A Claim