Galloway Insurance Logo Get a Quote
Auto Insurance
Home Insurance
Business Insurance
Life Insurance
Insurance Solutions

Contact Info

1310 S. Water Street
Burnet, Texas 78611
512-756-2988
fax: 512-756-7308


7501 RR 2147
La Bahia Bldg.
Horseshoe Bay, Texas 78657
830-598-5636
fax: 830-598-1854


100 Avenue H, Suite 101
Marble Falls, Texas 78654
830-693-0808
fax: 830-693-0804
Galloway
Apartment Program

Claim Form

 
Your Name:
First Last
Email Address:
Phone Number:
5 Digit Zip:
Policy Number:
Date of Loss:
Time of Loss:
Location of Incident/Loss:
Description of Incident/Loss:
Were the Authorities Called?
Additional Information:
By clicking submit, I understand this is not an actual claim, but notification to my agent to help with the process of my claim.
Website Disclaimer - Review Carefully:

This information is not an offer to sell insurance. Insurance coverage cannot be bound or changed via submission of this online form/application, e-mail, voice mail or facsimile. No binder, insurance policy, change, addition, and/or deletion to insurance coverage goes into effect unless and until confirmed directly with a licensed agent. Note any proposal of insurance we may present to you will be based upon the values developed and exposures to loss disclosed to us on this online form/application and/or in communications with us. All coverages are subject to the terms, conditions and exclusions of the actual policy issued. Not all policies or coverages are available in every state. You also agree to release us from any liability if this information is accidentally viewed by unauthorized persons. We will only use this information for insurance quoting purposes and not distribute to other parties.