Please select an option below. If you have any questions on claim submission, please be sure to contact us at (631) 719-8027 or send an email to newclaims@agaltd.com.

Multiple claims can be submitted by email to newclaims@agaltd.com by sending us the information about your claims on an Excel sheet in the given format (click here for a sample spreadsheet).

(Note: Save the sample spreadsheet, do not simply open it. Saving this to your desktop will allow for faster claim preparation in the future.)

Outlook Users – Please click here to download an email template to simplify individual claim placement.

Print your claim information and either fax or mail it to us. For your convenience, here is an electronic claim form in Excel format. (Note: Save the electronic claim form, do not simply open it. Saving this to your desktop will allow for faster claim preparation in the future.) Fax# 631-425-8862 Mailing Address: AG Adjustments PO Box 9090 Melville, NY 11747

Supporting documents for a claim may be submitted via any method (mail, fax or website). Please supply enough information so we know which claim your follow up documents correlate to. Click here to submit supporting documents online.

By placing your account(s) with A. G. Adjustments, Ltd. (AGA), you authorize AGA to act as your agent and proceed to collect the account (accounts) according to AGA’s established terms and conditions. In the event it becomes necessary to forward your claims to an attorney for legal action, we direct and authorize AGA as our agent, and as a convenience to us, to assign the account(s) to a lawyer as designated by AGA. Both AGA and the attorneys designated by AGA that represent us, are hereby authorized to accept payments and endorse checks, notes, money orders, drafts or any other form of currency for deposit. AGA must receive authorization from us to proceed in filing a lawsuit or settling an account. All payments, settlements, return of merchandise, credit issued, previously paid or withdrawn after demand is made by AGA is subject to our regular fees.