Claims – Trux Insurance Services

Fill out the form below and submit a claim.

Full Name*

Email address*

Phone Number*

Tractor & Trailer

Tractor year

Tractor make

Tractor VIN

Trailer year

Trailer make

Trailer VIN

Driver

Full name of driver of tractor in claim

Date of birth

Driver's License number

Driver's License state

Claimant (Other Party)

Loss

Date of loss

Location of loss

Details of loss

Special notes

Are you human?*

This field should be left blank