www.assurantgap.com
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Submission: On December 01 via manual from US — Scanned from DE
Submission: On December 01 via manual from US — Scanned from DE
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GUARANTEED ASSET PROTECTION (GAP) CLAIMS WITH GAP, WE'VE GOT YOUR VEHICLE COVERED. loading * Start a Claim * View an Open Claim START A NEW CLAIM Please enter 2 of the 3 options below to find your GAP contract and begin a claim. Vertragsnummer: Status: STORNIERT YOUR CONTRACT IS CANCELLED. PLEASE SEND ANY ADDITIONAL INFORMATION TO GAPCLAIMSUS@ASSURANT.COM Fahrgestellnummer Vertragsnummer Nachname START YOUR CLAIM VIEW AN EXISTING CLAIM You can check the status of your GAP claim, or edit your details. Please enter your VIN number or Last Name, and your Contract Number or Claim Number. Fahrgestellnummer Vertragsnummer Nr. der beantragten Gutschrift Nachname VIEW YOUR CLAIM Fraud Language For your protection California law requires the following to appear on this form: "Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison." GAP CLAIM SUBMISSION Please make sure you have all the information you need to submit your claim, but, don't worry you can go back at any time and continue your submission. Just make sure you save your progress! * * * * * CLAIM SUBMITTER INFORMATION Please complete the required fields in order to start your claim *I am filing this claim as: KundeLenderHändler *Händler Name *Festnetztelefon phone number format: ###-###-#### *Enter at least 1 email address Kunde E-Mail Lienholder Email Dealer Email LOSS INFORMATION This information can be found on the auto insurer's Adjuster's Report. *Date of Loss Datum für "Date of Loss" auswählen *Nature of Loss Wählen...AnimalBio-HazardCollisionExplosionFireFloodFallen TreeHailHurricaneLightningLemon LawStormTheftTornadoVandalismWater *Odometer Reading at Date of Loss HERE IS YOUR CLAIM NUMBER: SAVE THIS NUMBER FOR FUTURE REFERENCE. YOU WILL USE IT EVERY TIME YOU COME BACK TO ADD NEW INFO TO YOUR CLAIM OR CHECK THE STATUS. CUSTOMER AND LENDER INFORMATION Please confirm that our information below is correct, and edit any information that is out of date. Kundeninformation Bearbeiten , Händler Name Customer Mailing Address Customer Mailing Address 2 Customer Mailing City Override Customer Mailing State Customer Mailing Zip Customer Mailing Country Customer Phone Lender Information Lienholder Name Lienholder Address Lienholder Address 2 Lienholder City Lienholder State Lienholder Zip Lienholder Country Nr. der beantragten Gutschrift : Status: ADJUSTER'S REPORT Insurance Settlement Type Wählen...No InsurancePhysical DamageProperty DamageVendor Single Interest Insurance Deductible Amount Insurance Company INSURER'S DOCUMENT Insurance Settlement Amount RETAIL INSTALLMENT (FINANCE) CONTRACT Type of Financing Wählen...Balloon LoanLeaseConventional Loan Interest Type Wählen...ActuarialSimpleRule of 78 Loan/Lease Contract Date Datum für "Loan/Lease Contract Date" auswählen Date Of First Payment Datum für "Date Of First Payment" auswählen Date Interest Starts Datum für "Date Interest Starts" auswählen Amount Financed Payment Frequency Wählen...WeeklyMonthlyBi-weeklySemi-Monthly Number Of Payments Recurring Payment Amount Semi-Monthly Payment Dates LEASE CONTRACT Nr. der beantragten Gutschrift : Status: Document Upload To proceed with your claim, please provide the following documents. You can upload a few and come back later, we will save any file you upload here. loading Loading Löschen Add New Document Click to upload your documentPolice Accident OR Fire Dept ReportIf a police report was not filed at time of loss, or you cannot obtain one, please upload a letter indicating why there is no police report, along with the date and your signature. ERROR: Ok loading Loading Löschen Add New Document Click to upload your documentGAP Contract Amendment ERROR: Ok loading Loading Löschen Add New Document Click to upload your documentRetail Installment Contract or Lease Contract ERROR: Ok loading Loading Löschen Add New Document Click to upload your documentAuto Insurer's Declarations Page ERROR: Ok loading Loading Löschen Add New Document Click to upload your documentInsurance Settlement Documents ERROR: Ok loading Loading Löschen Add New Document Click to upload your documentAdjuster's Report ERROR: Ok loading Loading Löschen Add New Document Click to upload your documentPayment History ERROR: Ok loading Loading Löschen Add New Document Click to upload your documentLender's Letter ERROR: Ok loading Loading Löschen Add New Document Click to upload your documentAll Documents PDF ERROR: Ok If physical damage insurance was not in effect, or denied loading Loading Löschen Add New Document Click to upload your documentDamage Appraisal Report ERROR: Ok loading Loading Löschen Add New Document Click to upload your documentLetter of Denial ERROR: Ok If the vehicle was purchased new loading Loading Löschen Add New Document Click to upload your documentWindow Sticker or Vehicle Invoice ERROR: Ok If Mechanical Repair or any other add-on contracts were purchased loading Loading Löschen Add New Document Click to upload your documentAdd on Contracts ERROR: Ok loading Loading Löschen Add New Document Click to upload your documentDealer's Refund ERROR: Ok Nr. der beantragten Gutschrift : Status: Anspruch Information Bearbeiten Date of Loss: Nature of Loss: Odometer Reading at Date of Loss: Kundeninformation Lender Information Bearbeiten , , Adjuster's Report Bearbeiten Insurance Deductible Amount: Insurance Company: Insurance Settlement Type: Retail Installment Contract or Lease Contract Bearbeiten Type of Financing: Balloon Amount: Number Of Payments: APR: Interest Type: Loan/Lease Contract Date: Date Of First Payment: Recurring Payment Amount: Date Interest Starts: Amount Financed: Payment Frequency: Semi-Monthly Payment Dates: Residual Amount: Insurance Settlement Documents Bearbeiten Insurance Settlement Amount: × Please upload all required Documents Document Management Bearbeiten SUBMIT CLAIM Your claim has been submitted. Click here if a survey doesn’t load below Schließen loading Verlassen Gutschrift beantragen Fortsetzen Submit Claim Fortsetzen FREQUENTLY ASKED QUESTIONS * WHEN WILL MY CLAIM BE PROCESSED? We process most claims within 30 business days after receipt of all required documents. Failure to submit all required documents will delay full processing of your claim. Should only the refund evidence for either the credit insurance and/or the Mechanical Repair Agreement be absent, we can partially process your claim (as explained in the next question) * WHAT IF I HAVE ALL OF THE REQUIRED DOCUMENTS EXCEPT THE REFUND EVIDENCE FOR THE CREDIT INSURANCE AND/OR THE MECHANICAL REPAIR AGREEMENT THAT I PURCHASED FROM THE DEALER? Submit your claim. We will deduct the original charge for each product and pay any resulting benefit due your creditor. Upon receipt of acceptable refund evidence, we will make a supplementary payment. The combination of the refund that the dealer remitted to your creditor and the supplementary payment will reimburse 100% of the product's original cost. * WHERE DO I GET REQUIRED DOCUMENTS? Dealer: -GAP Contract Amendment or Certificate of Insurance -Retail Installment Sales Contract -Refund Evidence (for credit insurance and/or Mechanical Repair Agreement refunds) -Window Sticker or Vehicle Invoice Lender: -Pay-off Balance as of the Date of Loss -Loan Payment History Your Insurance Agent or Automobile (Physical Damage) Insurer: -Declarations Page -Settlement Check -Adjuster's Report (Third Party Settlements ONLY) Property Damage Insurer: -Settlement Check -Adjuster's Report * WHAT IS ACCEPTABLE REFUND EVIDENCE? We will accept either a copy of the Refund Check, the signed Cancellation Form or a letter on the dealer's letterhead evidencing the amount of the refund. Please contact your dealer to obtain this documentation. We reserve the right to verify the accuracy of any refund or refund amount * WHAT IS A RETAIL INSTALLMENT SALES CONTRACT? This is the loan document you signed at the dealership when you purchased your vehicle. It lists the terms of your loan including: Amount Financed, Interest Rate (APR), Number of Payments, Total of Payments, Payment Amount, Date of First Payment along with the specific charges applicable to your purchase. We need a readable copy of this document. If missing, contact your dealer or your creditor (i.e., the company to whom you make payments) * WHAT IS A DECLARATIONS PAGE? This is the document that you received from your automobile insurance company. It shows your coverage limits, your physical damage deductible(s) and your agent's name, address and phone number. If missing, contact your insurance agent. * WHY DO WE REQUIRE YOUR PHYSICAL DAMAGE INSURER'S SETTLEMENT CHECK? This shows the exact amount that the insurer paid for your total loss and is the foundation for the calculation of your GAP benefit amount. A copy of this Settlement Check can only be obtained from your insurance company * WHAT IS THE ADJUSTER'S REPORT? This shows a complete breakdown of the total loss settlement including all additions and deductions from the vehicle's base value, your physical damage deductible, the odometer reading at loss and the type of loss (collision or comprehensive). A copy can only be obtained from your insurance company. * WHAT IF MY PHYSICAL DAMAGE INSURANCE LAPSED? Please provide us with a copy of the police report and a damage appraisal. * WHAT IF THE OTHER PARTY'S PROPERTY DAMAGE PAID FOR MY LOSS? Submit a copy of the property damage settlement. Please be advised that your claim will be treated as if you had no physical damage coverage in force. This means that if the property damage settlement is less than the NADA Retail Value on the date of total loss, the NADA Value will be considered the value of your vehicle in our claim calculation. * WHAT IS THE LENDER'S LOAN PAYMENT HISTORY? This document shows when each payment was paid and the amount credited to principle, interest or late charges. Ask your creditor for a copy. * WHAT IS THE PAY-OFF BALANCE AS OF THE DATE OF LOSS? This letter from your creditor provides us with the exact amount you owed on the date of loss. It also contains your creditor's address and your loan account number, which is needed to ensure that any GAP Benefit is credited to your account. Ask your creditor for a copy. * WHY DO YOU NEED THE WINDOW STICKER OR VEHICLE INVOICE IF I PURCHASED A NEW VEHICLE? This shows the Manufacturer's Suggested Retail Price for your vehicle and its options and ensures that you receive credit for your vehicle's maximum value when a maximum limit applies to your contract. Ask your dealer for a copy. ABOUT ASSURANT * Our Story * News & Insights * Investors * CareerHIRING * Site Map HELP CENTER * Contact Us * gapclaimsus@assurant.com * 877.394.1206 * Vehiclecareplan.com ABBRECHEN * Email: csauto@assurant.com * Telefon: 800.909.7926 * FAX: 312.395.9746 -------------------------------------------------------------------------------- © 2022 Assurant, Inc. All rights reserved. LEGAL NOTICEPRIVACY POLICYREGULATORY NOTICE Loading Feedback