AESpecialty - American Equity Speciality Insurance Company

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FOR ACCIDENTS INVOLVING SIGNIFICANT DAMAGE OR INJURY, PLEASE CALL THE AESIC CLAIM CENTER AT 1-800-538-8526 (AVAILABLE 24/7).
THE FAX IS 866-446-9271.

TO REPORT A CLAIM:

Your Name *
Your Phone *
AESIC Insured Driver Name *
AESIC Driver cell or other phone *
Date of Loss *
State where loss occurred*
Description of Loss *
Your e-mail address	Email is required for confirmation

AESIC Insured Policy Number
AESIC Insured Policy Holder Name
Email address of where you would like a copy of this notice sent:
* required fields


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