Auto Accident Claim Form
Thank you. Your claim has been submitted.
A claims specialist will be contacting you within 24 hours to discuss your claim. Please try to have the following information available:
- Police report, if one was filed.
- Details of damage to your vehicle.
- Details of other vehicles involved in the accident (insurance information for other drivers, Vehicle Identification Numbers (VIN), vehicles’ make(s) and model(s), damages.)
- Current address of your vehicle.
- Contact information for other drivers, passengers and witnesses of the accident.