MENU LOGIN Report a Claim Auto Auto Glass Property Towing Roadside Assistance Kemper Life Kemper Health Report a Claim - Auto Person Reporting the Claim Person Reporting the Claim Please provide us with your personal contact information. First Name Last Name Phone Email Kemper Policyholder Information Kemper Policyholder Information Please provide us with the Kemper policyholder information below. Policy Number Person reporting is same as insured. First Name Last Name Address Address 2 City State Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Code Phone 1 Phone 2 Kemper Policyholder Vehicle Information Kemper Policyholder Vehicle Information Please provide us with the Kemper policyholder information and passengers involved in this incident. Year Make Model What part of vehicle is damaged? How many passengers in the vehicle? Was anyone in this vehicle injured? Yes, someone was injured. If Yes, please provide us with any injured parties names, contact information and any other information. Claimant Contact Information Claimant Contact Information Please provide us with information on the person involved in this incident with the Kemper policyholder. First Name Last Name Address Address 2 City State Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Code Phone 1 Phone 2 Claimant Vehicle Information Claimant Vehicle Information Please provide information on the other person's vehicle involved in this incident with the Kemper policyholder. Year Make Model What part of vehicle is damaged? How many passengers in the vehicle? Was anyone in this vehicle injured? Yes, someone was injured. If Yes, please provide us with any injured parties names, contact information and any other information. Incident Information Incident Information Please provide us with the information you have about the incident. Date of Incident Address (where incident occurred) City State Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Code Provide description of the accident as well as any additional contact information, witness information, police report information and any other comments: SUBMIT PRODUCTS Kemper Auto Kemper Personal Insurance Homeowners Renters Condo Mobile Home Flood Motorcycle ATV RV Boat Personal Valuables Personal Umbrella Liability Commercial Auto Commercial General Liability Business Owners Policy Life Health ESSENTIAL LINKS Report a claim Get a Quote Retrieve a Quote Find a Repair Shop Make a Payment Manage Account Mobile Apps Kemper class action settlement HELP/SUPPORT Contact Us Find an Agent Become an Agent ABOUT US Quick Facts Media Investors Governance Kemper and ESG Careers Accessibility Contact Us CONNECT WITH US Facebook Twitter LinkedIn © 2021, Kemper Corporation. All rights reserved. Terms of Use Privacy Policy CCPA