Homeowners Insurance Claim – Galyean Insurance Agency

Report a Homeowners Insurance Claims

Please note that submitting a claim from this website does not confirm coverage or authorize payment.

An agency representative will verify your coverage and contact you to complete the claims process. If this claim involves more than two people, please contact our agency directly to report it.

Important: If this claim involves more than two people, please contact our agency directly to report it

Policy Number (if you know it)

Name on Policy

Contact Information

Name

Your Email (required)

Home Phone

Work Phone

Best time to call you

Authority Contacted

Police or Fire Department

Police Report Number

Claim Information

Date of Loss

Location of Loss

Cause of Loss

Describe the damage to your property

Temporary shelter required?

Windows required board-up?

Cause of Loss

Injuries

Reminder: If more than two people are involved, please contact our agency directly to report the claim.

Information about person injured:

Name

Address

Phone

Nature of injuries

Information about additional person injured:
Name

Address

Phone

Nature of injuries

Comments and/or other information

Contact