Report A Claim

Please provide information about the claim. A Southern Trust Claims Representative will be in contact within 24 hours.

Step 1/6

Your Contact Information

Please fill in the details below so we can contact you about your claim.

Your Full Name *

Your Business Name

Your Phone Number *

Your Email (N/A if not available) *

How Are You Involved? *

I am a Southern Trust customer

I had an incident with a Southern Trust customer

Insurance Agent

Insurance Company

Attorney

Other

Step 2/6

The Policy Information

Please provide the Southern Trust policy information so we can find the claim coverage.

Policy Number *

Insured Full Name

Insured Phone Number

Insured Email

What Kind Of Claim? *

Personal Auto

Home

Business Auto

Business Property

General Liability

Other

Step 3/6

The Claimant Information

Please provide the Claimant contact information so we can get in touch.

Claimant Full Name

Claimant Phone Number

Claimant Email

Step 4/6

The Loss Details

Please let us know when and how the loss occurred.

Date Of Incident *

Time Of Incident *

Description of Incident *

Vehicle Year

Vehicle Make

Vehicle Model

Any injuries?

Yes

Any fatalities?

Yes

Step 6/6

Submit

Thank you for providing the necessary claim information. We’ll get in touch as soon as possible.

Your Email: None

We will email you and your agent a receipt notice as soon as we process your claim.

Your Phone: None

An adjuster will contact you at this phone number for further information.