Report A Claim

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Accident Information

If your policy starts with LST, please DO NOT report your claim online. Please contact SNAP MGA at 214-446-1144 to report your claim.

To report a claim to Western General because you are a policyholder, were in an accident with one of our policyholders, or witnessed an accident involving our policyholder, please fill out the form below then click the "Next Page" button to enter Vehicle/Driver information.

* = Required Field

Policyholder/Claimant Information

Reported Date: Time:
Are you a Western General
policy holder?:*


Your First Name:* Your Last Name:*
Your Street:*
Your City:* State:* Zip:*


Date of Birth Driver's License #:
Primary Phone:* Alternate Phone:
Best time to call:
Email:* Confirm Email:*

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