Nationwide - Claim Inquiry

Welcome

Please fill out the following form to begin a claims enquiry.

Warranty Claim

If you are looking for a Repair Facility, please Click Here to use our locator tool for our preferred repair facility locations, for warranty claims enquiries, please complete the form below...

First Name:

Last Name:

Email address:

Phone number:

Warranty Contract # (Optional):

Year/Make/Model (Optional):

VIN# (Last 6 digits):

Odometer (last reading):

Problem or issues with vehicle:

Trisura GAP Claim

Trisura GAP claim enquiries, Please complete the form below...

First Name:

Last Name:

Email address:

Phone number:

Trisura GAP Contract #:

Date of Loss(accident date):

VIN# (Last 6 digits) - Optional:

Please provide details:

Warranty Claim

Contact First Name:

Email address:

Upload File:

Problem or issues with vehicle: