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Need to Report a Claim? We’re Here to Help.

If something unexpected has happened, the most important thing is getting your claim reported quickly and accurately. Use the form below to provide the key details, and our team at Leal Insurance Services will report the claim to your insurance carrier on your behalf.

While the insurance company handles the investigation and claim decision, we’ll remain in your corner to help guide the process and facilitate communication when needed.

Let's get started

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Let's start with the basics

We hope that everyone is safe and that you're out of immediate danger. If you have questions or prefer to speak to someone *before filing the claim*, please call our office at (210) 277-7544. If you're ready to submit your claim to your insurance carrier, please provide us with the pertinent info below:

What type of claim do you need to submit?*

Commercial Auto Claim

Bodily Injury Liability Claim

Property Damage Claim

Work Comp

Is the person submitting this claim the Policyholder or Claimant*

Policyholder

3rd party Claimant or representative

Policyholder Name:*

Cell Phone Number*

Please provide your cell phone number to receive confirmation of claims submission by text.

Text/SMS Consent

Disclaimer: By checking this box and submitting this form, you consent to receive SMS messages from Leal Insurance Services, LLC at (210) 277-7544 about account notification, customer care or marketing. Message frequency may vary, and standard messaging and data rates may apply. Reply STOP to unsubscribe or HELP for assistance. For more details, see our Terms of Service and Privacy Policy and lealinsurance.com

Email*

Please provide the best email address where the carrier can send you confirmation of claim submission and progress updates (if applicable).

Insurance Company Name:*

Policy Number*

Please provide the policy number on which you wish to file your claim

Driver*

Is the driver of the covered vehicle involved in the claim the same as the policy holder?

Yes

Driver Name*

If the driver is not the same as the policy holder, please provide the information on the driver involved in the claim.

First Last

Year / Make / Model of Vehicle*

Please list the vehicle on your policy involved in this loss.

Other parties involved?*

If there are other parties involved in the loss, please check "Yes".

Yes

Name of other driver involved in the loss*

Please provide any information you can about the third party involved in the loss. If unknown, please type: "UNKNOWN"

First Last

Year / Make / Model / License Plate Number*

Please provide any information you can about the third party involved in the loss. If unknown, please type: "UNKNOWN"

Was a police and/or fire report filed?*

Yes

Name of the department where report was filed:*

Report/Incident Number:*

Date and Time of Incident*

Please be as accurate as possible.

Location of Incident*

Please provide the address where the loss occurred.

Street Address City State ZIP Code

Details of Incident*

Please be as specific and provide as much detail as possible in order to help expedite the handling of your claim.

Document Upload

Upload any documents or photos that will help in the handling of your claim. You can include: police reports, photos of vehicles/property, copy of other parties information, etc.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 25 MB, Max. files: 5.

Claim Reporting Disclosure & Consent*

By submitting this form, you acknowledge and understand that Leal Insurance Services is an independent insurance agency and not the insurance carrier responsible for handling or paying claims.

Submission of this form authorizes Leal Insurance Services to report the claim information you provide to the appropriate insurance carrier on your behalf. Once the claim is reported, the insurance carrier will investigate, adjust, and determine coverage and payment decisions according to the terms and conditions of the policy.

Please note:

Leal Insurance Services does not investigate, adjust, approve, or deny claims.

We do not control the claim process or the outcome of the claim.

The insurance carrier will communicate directly with you regarding claim status, documentation requests, and settlement decisions.

While we do not handle the claim itself, our team will serve as your advocate and resource throughout the process. When appropriate, we can help facilitate communication between you and the insurance carrier and assist in clarifying policy coverage or next steps.

By submitting this form, you confirm that the information provided is accurate to the best of your knowledge and authorize Leal Insurance Services to forward this claim report to the appropriate insurance carrier.

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