Damage Claim Form

In the event that you (“Member”) wish to file a claim for damages arising from a roadside assistance service request, please download and complete the form below as soon as possible following your service request. Please note that the investigation process may take a number of days to complete following receipt of this Form.

AAA Western and Central New York

 

Contact Us for Help

Complete this form and an AAA representative will reply back within 2 business days.

For time-sensitive concerns that require assistance immediately please call us 24/7 at (800) 836-2582.

Include email if you are seeking My Account login help
Input number in ###-###-#### format.
620084
If your membership number does not start with 620084, your membership is administered by a different AAA Club. Instead of this form please visit AAA.com/stop to re-route to your local club site.
Retrieve this through your T-Mobile account. Required to apply to your AAA membership. AAA does not have access to T-Mobile account information.