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PO Box 261240, Plano, TX 75026
Email Us
underwriting@ad-ga.com
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+1 888 509 2342

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Insured Information
Loss Information
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Driver & Vehicle Information
Yes
No
Property Damage
Yes
No
Yes
No
Injured Persons

Person 1

Pedestrian
Insured Vehicle
Other Vehicle

Person 2

Pedestrian
Insured Vehicle
Other Vehicle

Person 3

Pedestrian
Insured Vehicle
Other Vehicle
Witnesses

Witness 1

Pedestrian
Insured Vehicle
Other Vehicle

Witness 2

Pedestrian
Insured Vehicle
Other Vehicle

Witness 3

Pedestrian
Insured Vehicle
Other Vehicle
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Contact us using our contact form or the information below.

PO Box 261240 San Antonio, TX 78233

underwriting@ad-ga.com

Main +1 888 509 2342

Claims +1 888 509 2342

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