Submit a Claim
Auto Claim Form
All claims reported via the Internet are processed between 8 a.m. and 10 p.m. EST.
For immediate service at any time please call.
Region
Promise Line
Alberta
1-800-661-1577
Ontario
1-800-387-0462
Atlantic
1-800-561-7222
USA (snowbirds)
1-800-387-0462
Customer Information
Policy no.:
This field is required.
9 Digits Required.
Insured’s name:
This field is required.
Operator’s name:
(if different from Insured’s)
Home phone no.:
10 Digits Required.
Business phone no.:
10 Digits Required.
Cell phone no.:
10 Digits Required.
Vehicle Information
Year:
This field is required.
4 Digits Required.
Make:
This field is required.
Model:
This field is required.
Claim Details
Date of loss:
This field is required.
Damage type:
Auto Collision
Comprehensive
Glass
Other
Vehicle damage:
(specify location of damage on vehicle)
This field is required.
How loss occurred:
This field is required.
Bodily injuries:
Yes
No
Injury description:
(specify who was injured and nature of injuries)
This field is required.
Pembridge Insurance Company provides home and automobile insurance to Canadians through a network of select insurance brokers. Pembridge is backed by Allstate Insurance Company of Canada, giving it the scale and financial stability of one of the largest insurance companies in North America. Committed to giving back to communities, Pembridge is involved with various charities through our broker partners.
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