ALLSTATE CUSTOMER CARE REQUEST FORM

If you are an Allstate customer and require assistance, please complete this form. Your request will be received by an Allstate Customer Care Agent who will contact you within 1 - 2 business days.

*Mandatory fields

First Name*

Last Name*

Phone Number*

Email Address*

Your preferred contact method?*

Email Phone

How we can help you? (Please do not include credit card or bank information.)