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 5/6

Optional Attachments

Please provide any photos, police reports, documents and other relevant files. Only files ending with pdf, jpg, png, jpeg, doc, docx, txt, or mp4 can be uploaded.

The total size of all attachments cannot exceed 60 megabytes. Note that instead of attaching files now, you can email your attachments after you are contacted by an adjuster.

Select File(s)

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.