Please upgrade your browser to IE 11 or download Chrome for a better experience while viewing our site.

Auto Accident or Storm Damage

Report a Claim

Did you know you can log in to My COUNTRY to report your claim? It is fast, your claim is assigned to a representative immediately, and you can view your claim status throughout the process.  It may take up to 2 business days to assign your claim using the form below. To report other types of claims, visit our Claims Support Center.

Required fields are marked with an asterik (*)

Contact Information

A claims representative will be in contact as quickly as possible.



Loss Information


Type of Loss*
Location of loss

Indicate who in the vehicle was injured, if applicable.
Is the vehicle drivable?
How many vehicles were involved?*
If more than 3 vehicles were involved, please call 866-COUNTRY (866-268-6879).

Other Driver Information


Indicate who in the vehicle was injured, if applicable.
Is the vehicle drivable?

Other Driver Information


Indicate who in the vehicle was injured, if applicable.
Is the vehicle drivable?

Other Driver Information


Indicate who in the vehicle was injured, if applicable.
Is the vehicle drivable?