Bates, Roberts, Fowlkes & Jackson Insurance

Start a Claim

To begin filing a claim, please complete the following form below and a representative from Bates, Roberts, Fowlkes & Jackson Insurance will be in touch with you soon.

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*First Name:
*Last Name:
Address 1:
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*Daytime Phone:
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*E-mail Address:
*Who is starting the claim:	Client/Insured Third Party

*Insurred Name or Policy Holder:

*Type of Claim:
Auto Property Workers Compensation Business Liability Other

If an insurance representative has not contacted you by the end of the next business day, please call Bates, Roberts, Fowlkes & Jackson Insurance at (205) 956-0563.

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