Initiating A Claim

We are sorry that you have experienced a loss. Let's get you back on the road. To begin, please complete the form below. We will use this information to locate your contract within our system. Once an active contract is found, we will walk you through the claim process. You will need to upload documents to complete your claim. Once all required claim documents are received, reviewed, and accepted, your claim will be routed for processing. For more information, please click here for your claim instructions form. Here you will learn more about the documents required and where to obtain them. As the administrator of your GAP addendum, we do not have access to your lender, dealer, and insurance documents.






Claim Form

* Indicates a required field



We are unable to process this claim


In order to continue with your GAP claim, your vehicle must be a total loss. Please call 800-742-7896 for assistance.




This is a required field

This is a required field

This is a required field

This is a required field
Last name should not exceed 20 characters

This is a required field
Zip code should be only numeric or alphanumeric.
Zip code should be 5 digit code or 6 alphanumeric code.

This is a required field
Customer Phone number should be only numeric.

This is a required field
Please enter a valid email address

This is a required field
VIN number should be last 7 digit number.
VIN number should be alpha numeric