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Home
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Insurance
|
Claims Centre
|
Report a Claim
| Report a Claim Online
Report a Claim Online
Please complete the following form to report your claim online.
An AMA Insurance claims representative will contact you within one business day to process your claim.
If you require
immediate assistance
, please call
1-888-426-2444
.
indicates required fields
Please select the type of claim you would like to submit:
Property Claim
Auto Claim
This service is only available to AMA Insurance policyholders.
Step 1 - Personal Information
Step 2 - Driver and Vehicle Information
Step 3 - Other Parties Involved
Personal Information...
First Name:
Last Name:
AMA Insurance Policy #:
Membership #:
(Example: 620 272 1234567 123)
Address:
City:
Province:
Postal Code:
Daytime Phone #:
(Example: (780) 555-5555)
Home Phone #:
(Example: (780) 555-5555)
Work Phone #:
(Example: (780) 555-5555)
Cell Phone #:
(Example: (780) 555-5555)
Loss Details...
Date of Loss:
Time of Occurrence:
Hour
1
2
3
4
5
6
7
8
9
10
11
12
:
Minute
00
05
10
15
20
25
30
35
40
45
50
55
a.m./p.m.
a.m.
p.m.
Location of Loss (where did this loss occur):
Police/Fire Department File #:
Police Detachment:
Please provide a brief description of how the loss occurred and list the property lost or damaged: