Report a Claim

CCA's Claims Adjusters are licensed professionals that strive to treat each claim with care, compassion and fairness. You can reach CCA Claims at 1-888-835-3326 or by filling out the form below to report a possible claim.

Claim Initialization Report

Property Auto

Name of Person Reporting Claim:^*

CCA Insured Name:^*

Policy Number (if available):

CCA Insured Phone Number:^*

Date of Loss:

CCA Insured Property Address (If Applicable):

Driver of Insured Vehicle Name:

Time of Loss:

Name of Law Enforcement Agency Notified and Incident Number (If Applicable):

CCA Insured Vehicle Description:

Description of Vehicle Not Insured by CCA:

Description of Property Not Insured by CCA:

Description of incident/Damage to Vehicles:

Description of incident/Damage to Property:

Name of Person(s) Not insured with CCA involved:

Phone Number of Person(s) Not insured with CCA involved:

*Required

Any Person who knowingly, and with intent to injure, defraud, or deceive an insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete, or misleading information, is guilty of a felony.

Auto Claim Tips

Once you have reported your claim, a claim representative will contact you as soon as possible. Important things to remember during the claims process:

Take necessary steps to protect your vehicle from further damage.
Be sure to advise us as to the location of the vehicle.
Review your policy for specific coverage information.

Claims Against You

Do not admit fault. Should any party allege that the accident was your fault, contact your Agent or CCA Claim Representative. CCA will conduct an investigation to assess those allegations and render a liability decision. This decision will be subject to the terms and conditions of your policy.