Greenville, South Carolina

File an auto claim

Please fill out the form below and a representative will be in touch within 24 hours.

Date and Time of accident
Date Picker
Personal Information
Loss Information
Your Vehicle

Owner's Info

Driver's Info

Yes No

Property Damage

Yes No
Describe the injuries

Who is insured?

Yes No
Others injured?        
Witnesses or Passengers        

By submitting this form I agree that all of the included information is truthful to the best of my knowledge and I understand that fraudelent claims are illegal and may be prosecuted. Statewide Group's acceptance of this form does not constitute confirmation of coverage.

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