Truck Insurance Is Our Only Business.
Hatch Agency Truck Insurance

Report A Claim

Please fill out the below form and/or call our claims department at (800) 328-8451 or (952) 238-2066.

*Required Fields.

Insured

Name*:
Address*:
Address Two:
City*:
State*:
Postal Code*:

Loss

Date of Loss: (Ex: 10/22/2017)
Month Day Year
Location of accident (Include city & state):
Description of accident:
Authority contacted:
Report #:
Violations/Citations:

Insured Vehicle

Serial Number:
Year:
Make:

Owner Information

Owners Name:
Address:
Address Two:
City:
State:
Postal Code:

Driver Information

Drivers Name:
Address:
Address Two:
City:
State:
Postal Code:
Phone Number:
Date of Birth:
Month Day Year
License #:
Describe Damage:
Cargo Damage:
Describe Cargo Damage:
Submit
**If it is an emergency or after normal business hours please report directly to your insurance company by calling the 800 number provided on your Cab Card/Coverage Certificate
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