Mexican Auto Insurance Home Page

Atlas Property Loss Notice

Use this form to report property loss to Atlas. Please note that completing this form is not the equivalent of contacting the Insurance Company which is a requirement as expressed in your contract of insurance. This form is only a tool to help speed up the claim process.

* indicates required fields.

Step 1 - Insured Information
* Policy Number:
* Name and Address of Insured:
Company:
* eMail:
Fax:
Home Phone:
Business Phone:
Name and Address of Spouse:
(if applicable)
Step 2 - Contact Information
Contact Name and Address:
eMail:
Fax:
Home Phone:
Business Phone:
Step 3 - Loss Information
Location of Loss:
Police or Fire Dept. to which Reported:
Probable Amount Entire Loss:
Description of Loss & Damage:
(use separate sheet if necessary)
Step 4 - Policy Information
Mortgagee:
Bank Name and Address:
Account Number:
ABA/Routing #:
Adjuster Assigned:
Reported By:
Reported To:

 

Filling out this form is not the equivalent of contacting the Insurance Company which is a requirement as expressed in your contract of insurance. This form is only a tool to help speed up the claim process.

If you have any questions, please call us at the numbers listed below.