Report an Insurance Claim to Eugene Wilson & Co. LLC Insurance Agency of Bardstown, KY

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Us Today!

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E-mail
Us At:

ewco@ewco-ins.com

Phone: 1-502-348-5921
Fax: 1-502-331-0023
Toll Free: 1-800-999-5921

602 Bloomfield Road
Bardstown, KY 40004

KY Insurance License #'s:
354252 and 354251

"All Our Policies Come With an Agent!"

*"Report an Insurance Claim"* Request for Assistance Form. One Simple Form - takes only 2-3 Minutes! Your Personal Data
Your Name
Street Address:
City:
State:
Zip/Postal:
E-Mail (REQUIRED):
Phone (REQUIRED):
Fax: (Optional)

Policy & Service Details
Your Policy Number:


Type of Claim Being Reported:	Auto/Vehicle Property/Homeowners Commercial/Businessowners Other


Describe Your Claim in DETAIL: (We will have a customer service representative call you upon receipt of this request.)

Please contact me for service via:	Fax E-Mail Regular Mail Please Call Me!

Thank you for filling out this form COMPLETELY!
We deem your data submitted as PRIVATE information. Every step has been taken to insure your privacy, security, and to release this information only to you. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release them from any liability should this information be accidentally viewed by others. Also, the insurance carriers reserve the right to issue coverage or not, and we cannot guarantee acceptance of a risk until approved by the company.
Yes, Please Service My Claim. If you do not hear from us within 24 hours, please call us toll free at:
1-800-999-5921

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