** Note: The zero split platform is not available with cases submitted to Allianz. With these cases, a 10% split of the case is required.
*Attention iPhone users, we have a minor bug with the form that is available below that makes the form jump to the top of this page once you tap your finger in a form field. Please just go back to the top of the page if you are using an iPhone and you can finish filling out the form. Thank you for your patience while we fix this bug.