Auto Accident Claim Form

What to do in the event of an Auto Accident

Safety: 

•  Make certain you and your passengers are safe – move your vehicle off the road and turn on your hazard lights.
  
  
•  Call 911 if there are injuries or the accident is significant
  
  
•  If you are witnessing road rage from the other party, keep your distance from them and  call 911.

 Obtain:

• Information on the Other driver’s Insurance Card, including

• Name

• Address

• Phone number

• Insurance Company details, including (name, policy number and Ph. Number).  

• If the other driver can not furnish the information, call 911 and obtain their License Plate Number and any information you can on the vehicle.

 Reporting:

• Call our Agency, your Insurance Company or complete the form below – if you call the Insurance Company, please let us know when you have a moment so we can monitor the claim.