Step 1

Step 2

Step 3

Report a Claim

Has the unexpected happened? You can report your claim 24 hours a day 7 days a week using the online form or by calling 1-800-723-3276. Your claim will be assigned to a representative who will contact you to obtain additional information and answer your questions.

If you are not an Indiana Farm Bureau Insurance policyholder, please call 1-800-723-3276 to report your claim.

I acknowledge, in starting the claims reporting process, Indiana Farm Bureau Insurance is not in any way verifying or committing to coverage for your loss. A claims representative will determine if coverage applies. Please keep all loss-related receipts for possible reimbursement.*

Type of Loss

User Information

Policy Number

First Name

Last Name

Street Address

Apartment

City

Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY

State

Zip Code

Home Phone

Work Phone

Other Phone

Best Time to Call

Your Email

Confirm Your Email Address

Information About the Person Driving Your Vehicle

Same as Your Information

First Name

Last Name

Street Address

Apartment

City

Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY

State

Zip Code

Home Phone

Work Phone

Other Phone

Best Time to Call

Relationship to you

Your Vehicle Information

Year

Make

Model

Color

Describe Damages

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Is the vehicle drivable?

Was another vehicle involved?

Information About the Other Driver

First Name

Last Name

Street Address

Apartment

City

Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY

State

Zip Code

Home Phone

Work Phone

Other Phone

Best Time to Call

Driver's License Number

Information About the Other Vehicle

Year

Make

Model

Color

License Plate Number

Describe Damages

characters remaining

Is the vehicle drivable?

Were there other vehicles involved? If yes, please tell us about them in the comments box below.

Loss Information

Date of Loss (mm/dd/yyyy)

Time of Loss (EST)

Where did the loss occur?

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Description of What Happened

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Were there any injuries?

Describe injuries

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Damage Description

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Investigating Department (police/fire)

Were there any witnesses?

Witness Information

First Name

Last Name

Street Address

Apartment

City

Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY

State

Zip Code

Home Phone

Work Phone

Other Phone

Best Time to Call

Comments (include information about other vehicles involved, other witnesses, etc.)

characters remaining

Submitter Information

Same as Your Information

Your Name

Your Email Address

Confirm Your Email Address

A person who knowingly and with intent to defraud an insurer files a statement of claim containing any false, incomplete or misleading information commits a felony.