CLAIMS FORM

 

What to do in the event of an Accident

We're very sorry to hear you were in an accident. You can submit your vehicle claim using the form below. If you have any questions, please call us at 718-204-5050.

Please indicate if you want us to refer this accident to our claims attorney. He will file your claim for you against the other party and try to have a check for you within the month!

 

Note: Download the MV-104 form and fill out as much information. Submit the completed MV-104  form together with your police report and photos of your vehicle accident on the form below. Your Lone Star Brokerage Representative will begin initiating this claim.


Download MV-104 Here