Insurance Professionals

Insurance claim form

How it works

Please fill out the insurance claim form and click “submit”. We will contact your insured, assist them with the claim process and report the claim directly to the insurance company and/or the appropriate claim reporting center.

"*" indicates required fields

Policyholder's Name*

First Last

Phone*

Agency's Name*

Agency Email Address*

Insurance Company*

Policy number*

Date of Loss*

Deductible Amount*

All Star Auto Glass Service Center*

Lincoln, NE

Columbus, NE

Grand Island, NE

North Platte, NE

Ames, IA

Comments/Special Instructions

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Comments

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LOCATIONS

Lincoln, NE
131 NW 14th Street, Suite 1, 68528
Ph (402) 904-6099

Columbus, NE
1354 33rd Ave 68601
Ph (402) 562-2002

Grand Island, NE
2219 W 2nd St. 68803
Ph (308) 381-5444

LOCATIONS

North Platte, NE
321 So. Jeffers #2 69101
Ph (308) 534-3500

Ames, IA
821 Lincoln Way
Ph (515) 233-2886

LOCATIONS

Insurance Professionals

Insurance claim form

How it works

QUICK LINKS

LOCATIONS

LOCATIONS

QUICK LINKS

LOCATIONS