File a Claim Here at Legacy Insurance Group, we know filing a claim can be both stressful and emotional. We are here to help make this process as easy, quick, and stress free as possible. Help us get started with your claim by completing the form below. Your InformationName*Driver (If other than insured)Policy Number*Vehicle Year*Vehicle Make*Vehicle Model*Vehicle ColorVehicle VIN #*License Plate #*Trailer YearTrailer MakeTrailer ModelTrailer VIN #Accident InformationDate of Accident* Time of Accident* : HH MM AM PM Location of Accident*Brief Description of What Happened*Any Injuries? (Name, Age, Address, Phone Number)Any Witnesses? (Name, Address, Phone Number)Authority Called (i.e. Houston P.D.)Case NumberAny Citations Issued? (To whom? What for?)Was another person and/or vehicle involved?*YesNoOther Party InformationOther Person Involved (Name, Address, Phone Number)Owner of Other Vehicle Involved (Name, Address, Phone Number)Insurance CompanyPolicy NumberVehicle YearVehicle MakeVehicle ModelVehicle ColorVehicle VIN #License Plate #CommentsThis field is for validation purposes and should be left unchanged.