Claims Submission

Step 1 of 7

Claim Submission*
If you need to file a claim, we're here to help. We hope that everyone is safe and that you're out of immediate danger. If you have questions or prefer to speak to someone *before filing the claim*, please call our office at (210) 277-7544. Please provide us with the pertinent info needed to submit the claim to your carrier. Are you filing an Auto or Home claim?
- Auto Claim
- Home Claim

Policyholder's Name*
First Last
Cell Phone Number*
Please provide your cell phone number to receive confirmation of claims submission by text.
Email*
Please provide the best email address where the carrier can send you confirmation of claim submission and progress updates (if applicable).

Insurance Provider*
What insurance company is your policy with?
Policy Number*
Please provide the policy number on which you wish to file your claim

Driver*
Is the driver of the covered vehicle involved in the claim the same as the policy holder?
- Yes
- No
Driver Name*
If the driver is not the same as the policy holder, please provide the information on the driver involved in the claim.
First Last
Year / Make / Model of Vehicle*
Please list the vehicle on your policy involved in this loss.

Other parties involved?*
If there are other parties involved in the loss, please check "Yes".
- Yes
- No
Name of other driver involved in the loss*
Please provide any information you can about the third party involved in the loss. If unknown, please type: "UNKNOWN"
First Last
Year / Make / Model / License Plate Number*
Please provide any information you can about the third party involved in the loss. If unknown, please type: "UNKNOWN"

Date and Time of Loss*
Please be as accurate as possible.
Location of Loss*
Please provide the address where the loss occurred.

Street Address City State ZIP Code
Details of Loss*
Please be as specific and provide as much detail as possible in order to help expedite the handling of your claim.

Document Upload
Upload any documents or photos that will help in the handling of your claim. You can include: police reports, photos of vehicles/property, copy of other parties information, etc.
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 25 MB, Max. files: 5.
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Our wide range of business insurance carriers ensures great pricing.

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Great experience with Luis Leal and his team. Very efficient and informative on all policy coverages and options. Thank You, Leal Insurance!!

3 weeks ago

Mickie Saenz

Leal Insurance Services has great customer service and super low rates. Staff is very friendly.

3 weeks ago

Priscilla Davila

Mr. Leal made the transition smooth for me. Coming from another state, I still had my Rhode Island insurance policy. He helped get me a...

8 months ago

Shawn Totten

Thanks Leal Insurance for getting us the appropriate coverage for our business. When we started our business we honestly picked mainly on price... This was...

9 months ago

richard james

Luis and Company are great. Saved me money and got better coverage for me and my family.

a month ago

Ralph Lopez