Granada Insurance Services
Contact Us
Fill in the form below for an online claim report. Be sure to fill out all of the requested fields and a representative will get back to you promptly. After completing the form, press the Submit button.
Contact Information
Policy Holder's Name:
 
Policy Number:
 
Primary Contact Phone#:
 
Secondary Contact Phone#:
 
E-Mail Address:
 
Claim Information
Incident Date:
 
Incident Time:
 
Location of Incident:
 
Was anyone injured?
 
Police Dept. Contact:
 
Investigation Agency Report #:
 
Description of what occured:
 
Description of damages:
 
Damaged Vehicle Info
Were any vehicles damaged?
Submit your claim by clicking "Submit" below.
NOTE: Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.