Commercial Auto Claims

Report all losses and/or lawsuits immediately, even if you only have limited information about the accident and the parties involved, regardless of Fault or Extent of Damage or Injuries.

Policy Information

Company Name:
Company Phone:

Driver Name:
Driver Phone:

Insurance Company:
Policy Number:

Claim Information

Date of Loss:
Amount of Claim:
Describe What Happened:
Insured Vehicle:

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Is The Vehicle Drivable?

Where is Vehicle Located:
Describe The Damage:

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Was There Damange to Someone Else's Vehicle or Property?

Person/Property Owner's Name:
Person/Property Owner's Phone:
Describe The Damage:

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Was There Damage to Cargo?

Type of Cargo:
Owner of Cargo:
Phone Number of Owner:

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Was Anyone Injured?

Name of Injured:
Type of Injury:
Did They Seek Medical Treatment?:    Yes    No

Name of Injured:
Type of Injury:
Did They Seek Medical Treatment?:    Yes    No

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Any Questions or Comments:

  

• Obtain names, addresses, and phone numbers of other parties involved.
• Obtain name of other person's insurance company, policy number, and phone number.
• Obtain the information on the other parties vehicle (license number, year, make, model).
• Obtain names and addresses of witnesses.
• Note the time, date, and location of accident.
• Report the accident to the police department of other designated authority.
• Obtain the name of the police officer and precinct, if applicable.
• Report the accident to us.

If you need to speak directly to an agent while on the road, you may also contact your claim company directly:

• Northland: 1-800-328-5972
• Harco: 1-800-822-4429
• Farmers Insurance: 1-800-435-7764
• Progressive: 1-888-732-9868