Abbott Insurance Center, East Lansing, Michigan

 ABBOTT Insurance Center                      
Hacker-King-Sherry Agency
Vernon Ebersole Agency
2205 Abbott Road   ·   PO Box 1237   ·   East Lansing, Michigan 48823
(517) 337-6000   ·   (888) 337-0982   ·   Fax: (517) 337-0982

 

Independent Insurance Agents of America

National Association of Professional Insurance Agents

Michigan Association of Insurance Agents


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Automobile Claim Report
Until you are notified, no changes are final and/or coverage bound.  If not
contacted within three business days, please call the agency.

Your Name
Policy Number
Date of Loss
Claim Location
Claim Description
Your Vehicle Year
Make / Model
VIN (Serial Number)
Driver's Name
Damage

Injured Persons

        
Other Vehicle

 

 Year
Make / Model
VIN (Serial Number)
Driver's Name
Insurance Company
Damage

Injured Persons
Daytime Phone
Evening Phone
Other Information