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Do you have a question about AIG American General¹ or your policy? If so, enter it here then press the "Send" button at the bottom of the form. Please include information so we may contact you. (Note: *indicates a required field.) To protect your privacy, this form must be completed by the policy owner. If you cannot complete this form, please contact the company that issued your policy.

Policy information
*Policy issued by
   
*Policy number
   
Insured's information
*Insured's last name
*Insured's first name
*Insured's MI (Please do not include a period or other special characters.)
*Insured's date of birth / / (format mm/dd/yyyy)
   
Policy owner information
*Policy owner's last name
*Policy owner's first name
*Policy owner's MI (Please do not include a period or other special characters. Enter "NMI" if no middle initial.)
Last four digits of Policy owner's SS# (Please do not enter spaces or other punctuation)
*Phone / -
*E-mail
*Street address
*City
*State/Province
*ZIP/Postal code
*Country
   
Contact information
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If you click the "Send" button or submit this electronic inquiry in any other manner, you hereby authorize us to reply to your inquiry by e-mail. We will attempt to reply based on your preference indicated above.

User acknowledges and agrees that by providing AIG American General¹ with any personal or confidential user information through this e-mail function, user consents to the transmission (including the sending and reply) of such personal or confidential user information through the public Internet and via e-mail, and understands that there are risks that this information could be viewed by other parties. User agrees to adhere to procedures that may be established by AIG American General to enhance the safety and confidentiality of transmissions of personal data over the Internet.

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