File Claim - Wesley K Smith Insurance

File a Claim

Step 1 of 5

Start Claim
Are you filing a claim against your own policy?*
- Yes
- No

What type of claim are you filing?*

Select Policy
Please enter policy information below to proceed with this claim

General Info
Name*
First Last
Primary Phone Number*
Alternate Phone Number
Best time to call*
: HH
MM
Email*
Loss Date and Time*
Date Format: MM slash DD slash YYYY
Time*
: HH
MM
Select the type of loss*

Loss Information
Loss location*
State*
County*
Address or nearest location where loss occurred*
Were there other parties (people, vehicles, property) involved in the loss?*
Were there injuries involved?*
Describe what happened and the damage*
Indicate the type of damage to your property*
Additional information if available (Police/Fire report, other party information, etc...)*