Online Auto Club Claims Claim Status -None- Draft Awaiting Signature New For Approval In Progress Denied Closed – Paid Closed – Not Paid Check Request Inactive Loan office name & city where purchased ?Enter the name of loan company and city where membership was purchased Club Membership Date ?Enter start date of membership.. Submitted By ?First and last name of person submitting claim. Email ?Enter valid email address. Claimant Full Name* Phone Street Address City State Zip/Postal Code Claim Details Additional claim detailsUpload a File File(s) size limit is 20MB.
