Prompt Claims Reporting

Size: px
Start display at page:

Download "Prompt Claims Reporting"

Transcription

1 Old Republic Insurance Company of Canada *November 2013 Prompt Claims Reporting Claims are an inevitable part of doing business. What happens after the loss sets the stage for successful claims resolution. Old Republic strives to provide the best claims service possible for you, our valued customers. This includes prompt investigation, accurate evaluation, and ethical resolution while delivering the highest levels of customer service. When claims are reported late, you lose the advantage of having a great claims team at your disposal. The result of late reported claims is loss of evidence, frustrated claimants, spoiled cargo, changes to the scene of the collision, and increased downtime. Promptly reporting claims allows our claims staff to conduct thorough investigations, preserve evidence, obtain witness statements, secure fast and fair settlements, and minimize your downtime. The key to successful claims resolution is the partnership that exists between Old Republic and its customers. All participants in the claims process must be aggressive in addressing all claims no matter how large or small. The reporting process begins with the driver. How he or she responds can have a huge impact on the outcome of any accident. When a driver is involved in a collision, they must make sure to secure the collision scene. Once this is accomplished, the driver should immediately telephone Old Republic at Drivers should call Old Republic from the scene regardless of fault or how minor the loss appears. The driver is in the best position to relay accurate and timely information to Old Republic. Our 24-hour telephone operators can conference in the driver s safety director or your broker. By directly contacting Old Republic, drivers receive expert advice on proper conduct during a collision investigation. Our claims staff wants to help keep your operation running as smoothly as possible. Your help, however, is needed to ensure that drivers and safety personnel are properly informed about our accident-reporting requirements. As our valued customers, you can make a significant impact on ensuring all claims are immediately reported to Old Republic.

2 Exercising Protective Driving Technique: Set out warning devices when necessary Do not move your vehicle until instructed by the authorities Contact the authorities, your company, and medical assistance (if needed) Stay at the scene; be courteous If the other driver admits fault, have them complete an Exoneration Form Fill out the accident report at the scene Take pictures (if possible) of the general scene, vehicles, cargo, etc. Do not sign anything or make statements except to the authorities, your company, or Old Republic Remain at the scene until all requirements are met, or as instructed by the authorities

3 Prompt Claims Reporting Knowledge Verification 1. What are the results of reporting a claim too late? 2. What can your insurance company do when a claim is reported promptly? 3. Does it matter how large or small a claim is, whether you should report it or not. YES NO 4. What is the first thing a driver should do, if involved in a collision? 5. What is the second thing the driver should then do? 6. What is Old Republic s phone number for reporting accidents? When can you call?, date and return to your Safety Department: Driver s Name: Date: Driver s Signature:

4 Answers: 1)Loss of evidence, frustrated claimants, spoiled cargo, change in accident scene and increased downtime. 2) Claims staff can conduct a thorough investigation, preserve evidence, obtain witness statements, secure fast and fair settlements, and minimize your downtime. 3) NO 4) First secure the accident scene and second immediately telephone Old Republic Insurance Company of Canada. 5)

5

Accident Reporting Company Procedures

Accident Reporting Company Procedures Accident Reporting Company Procedures Accident reporting: FMCSA requirements Part 390.15 fatality injury tow away Accident Register keep for three year following a recordable accident. State Reporting

More information

Rental Vehicle Insurance

Rental Vehicle Insurance Rental Vehicle Insurance Save on rentals in Manitoba, Canada and the United States Get the most protection Control your risks When you rent or borrow a vehicle, think about the insurance protection you

More information

10 Things You Must Know Before You Find a Seattle Injury Attorney

10 Things You Must Know Before You Find a Seattle Injury Attorney 10 Things You Must Know Before You Find a H Seattle Injury Attorney www.seattleinjuryattorneyfaq.com 1 Should I get an attorney if I am in a car accident? If you have been hurt or have serious injuries,

More information

Motor Vehicle Accident Claim form

Motor Vehicle Accident Claim form Motor Vehicle Accident Claim form Complaints procedure Enthusiast Underwriting Pty Ltd is a member of the Financial Ombudsman Service. This independent service is provided to the insuring public at no

More information

About NonProfits United

About NonProfits United About NonProfits United NonProfits United is California s oldest self-insurance alternative for nonprofit organizations. NPU was groundbreaking and original in its conception, and continues to pioneer

More information

LIFE INSURANCE CLAIM APPLICATION FORMS

LIFE INSURANCE CLAIM APPLICATION FORMS LIFE INSURANCE CLAIM APPLICATION FORMS INSTRUCTIONS ALL OF THE FOLLOWING PROPERLY COMPLETED FORMS ARE ESSENTIAL TO THE PROMPT PROCESSING OF YOUR CLAIM: INFORMATION RELEASE FORMS (Please complete both Information

More information

Public Liability Insurance Claim Form

Public Liability Insurance Claim Form & Public Liability Insurance Claim Form Completing this Form Please answer all questions. This will help us to process your claim quickly. If you need more space to answer any of the questions or wish

More information

Theme: 18. RULES OF DRIVER S BEHAVIOUR IN CASE OF ROAD TRAFFIC ACCIDENT

Theme: 18. RULES OF DRIVER S BEHAVIOUR IN CASE OF ROAD TRAFFIC ACCIDENT Theme: 18. RULES OF DRIVER S BEHAVIOUR IN CASE OF ROAD TRAFFIC ACCIDENT Poi nts К No. Question, answers Figure 2 18/1. The drivers in which age group are most frequently involved in road traffic accidents?

More information

Motor Vehicle Accidents

Motor Vehicle Accidents Motor Vehicle Accidents Crash!!! Oh no, now what? It is often hard to know what to do if you are involved in a motor vehicle accident. What rights and responsibilities do you have? And what actions, if

More information

SOUTH CAROLINA BAR. Auto Accidents and the Law

SOUTH CAROLINA BAR. Auto Accidents and the Law SOUTH CAROLINA BAR Auto Accidents and the Law BE PREPARED Because accidents happen to even the best of drivers, everyone should be prepared to do the right things immediately afterward. Many legal troubles

More information

Motor Vehicle. Accident Claim Form COMPLAINTS PROCEDURE. Financial Ombudsman Service. Privacy Statement. General Insurance Code of Practice

Motor Vehicle. Accident Claim Form COMPLAINTS PROCEDURE. Financial Ombudsman Service. Privacy Statement. General Insurance Code of Practice COMPLAINTS PROCEDURE Enthusiast Underwriting Pty Ltd is a member of the Financial Ombudsman Service. This independent service is provided to the insuring public at no cost and aims to resolve claims complaints

More information

STATEMENT OF RESOURCES TO ADDRESS CLAIMS ARISING FROM ACCIDENTS INVOLVING VEHICLES OPERATED ON UNIVERSITY BUSINESS

STATEMENT OF RESOURCES TO ADDRESS CLAIMS ARISING FROM ACCIDENTS INVOLVING VEHICLES OPERATED ON UNIVERSITY BUSINESS STATEMENT OF RESOURCES TO ADDRESS CLAIMS ARISING FROM ACCIDENTS INVOLVING VEHICLES OPERATED ON UNIVERSITY BUSINESS This statement contains a general description of resources available in connection with

More information

Lowcountry Injury Law

Lowcountry Injury Law Lowcountry Injury Law 1917 Lovejoy Street Post Office Drawer 850 Beaufort, South Carolina 29901 Personal Injury Phone (843) 524-9445 Auto Accidents Fax (843) 524-6981 Workers Comp Lawyer@LowcountryLaw.com

More information

C L A I M S M A N A G E M E N T & M I T I G A T I O N - T I P S T O H E L P P R O T E C T Y O U R S E L F A G A I N S T F R A U D A N D L I M I T Y O

C L A I M S M A N A G E M E N T & M I T I G A T I O N - T I P S T O H E L P P R O T E C T Y O U R S E L F A G A I N S T F R A U D A N D L I M I T Y O C L A I M S M A N A G E M E N T & M I T I G A T I O N - T I P S T O H E L P P R O T E C T Y O U R S E L F A G A I N S T F R A U D A N D L I M I T Y O U R L I A B I L I T Y M a y 6, 2 0 1 5 W H O I S A

More information

COUNTY OWNED VEHICLE USAGE POLICY. Effective January 1, 2009

COUNTY OWNED VEHICLE USAGE POLICY. Effective January 1, 2009 COUNTY OWNED VEHICLE USAGE POLICY Effective January 1, 2009 Ohio Revised Code 307.72 states that motor vehicles purchased or leased as provided by section 307.41 of the Revised Code shall be for the use

More information

Fault? Frequently Asked Questions

Fault? Frequently Asked Questions Claims Who s at Fault? Frequently Asked Questions How your adjuster assesses fault How fault affects you Appeal options What is fault? When Manitoba Public Insurance assesses fault, we are determining

More information

July 15, 2014 STATEMENT OF RESOURCES TO ADDRESS CLAIMS ARISING FROM ACCIDENTS INVOLVING VEHICLES OPERATED ON UNIVERSITY BUSINESS

July 15, 2014 STATEMENT OF RESOURCES TO ADDRESS CLAIMS ARISING FROM ACCIDENTS INVOLVING VEHICLES OPERATED ON UNIVERSITY BUSINESS July 15, 2014 STATEMENT OF RESOURCES TO ADDRESS CLAIMS ARISING FROM ACCIDENTS INVOLVING VEHICLES OPERATED ON UNIVERSITY BUSINESS This statement contains a general description of resources available in

More information

Motor Vehicle Accident Report Form

Motor Vehicle Accident Report Form Motor Vehicle Accident Report Form 1300 725 788 Your Car, Your Choice Know Your Rights Service & Quality Guaranteed One Call Does It All Owner s Particulars (PLEASE COMPLETE IN BLOCK LETTERS) Full Name

More information

HELPFUL TIPS AFTER A CAR ACCIDENT

HELPFUL TIPS AFTER A CAR ACCIDENT HELPFUL TIPS AFTER A CAR ACCIDENT A PRACTICAL GUIDE BY ERIN M. HARGIS, ESQ A car accident can be a very traumatic and stressful event and it may be difficult to think clearly if you have just been involved

More information

MOTOR VEHICLE CLAIM FORM

MOTOR VEHICLE CLAIM FORM MOTOR VEHICLE CLAIM FORM The Issue of this Form is not an Admission of Liability by Insurers We understand the difficulties arising from your accident. Please complete and return this claim form as soon

More information

Compulsory Third Party Insurance Notice of Accident by Owner

Compulsory Third Party Insurance Notice of Accident by Owner Compulsory Third Party Insurance tice of Accident by Owner Please complete and mail to: CTP Claims, GPO Box 1453 Brisbane QLD 4001 Claim Reference. 1. OWNER Mr/Mrs/Ms Address (. & Street) Town/Suburb Postcode

More information

Dealing with the Damage to Your Car after an Accident

Dealing with the Damage to Your Car after an Accident Dealing with the Damage to Your Car after an Accident People often have questions and concerns about their car after they have been involved in an accident. If the accident is your fault, then you can

More information

12 Common Auto Accident Myths: Protecting your rights and wallet after being injured in an auto accident.

12 Common Auto Accident Myths: Protecting your rights and wallet after being injured in an auto accident. 12 Common Auto Accident Myths: Protecting your rights and wallet after being injured in an auto accident. Introduction An auto accident can dramatically change your life. You could be injured and/or in

More information

Basildon Council - Motor Vehicle Claim Form

Basildon Council - Motor Vehicle Claim Form Basildon Council - Motor Vehicle Claim Form Please ensure you read the following information before completing this claims form and that you complete this form thoroughly, failure to complete the form

More information

Accident/Injury Reporting and Investigation

Accident/Injury Reporting and Investigation Accident/Injury Reporting and Investigation Purpose and Scope: This program establishes the requirements for the reporting and reviewing of accidents/injuries at Stephen F. Austin State University. It

More information

MOTOR VEHICLE COMPENSATION CLAIM SUCCESS

MOTOR VEHICLE COMPENSATION CLAIM SUCCESS MOTOR VEHICLE COMPENSATION CLAIM SUCCESS 6 WAYS TO RUIN YOUR MOTOR VEHICLE COMPENSATION CLAIM 6 WAYS TO RUIN YOUR MOTOR VEHICLE COMPENSATION CLAIM In this guide, we have outlined the 6 most common ways

More information

debt recovery the complete legal solution for your business

debt recovery the complete legal solution for your business debt recovery the complete legal solution for your business Maintaining a good cash flow is vital to ensuring that your business stays ahead of the game. Whether your business suffers from consistent bad

More information

AUTO ACCIDENTS & PROPERTY DAMAGE CLAIMS

AUTO ACCIDENTS & PROPERTY DAMAGE CLAIMS AUTO ACCIDENTS & PROPERTY DAMAGE CLAIMS A STEP-BY-STEP GUIDE FOR HANDLING A VEHICLE PROPERTY DAMAGE CLAIM WITHOUT HIRING AN ATTORNEY. Not every car wreck results in an injury. In cases where an accident

More information

Carefree. Travel ANYWHERE IN THE WORLD

Carefree. Travel ANYWHERE IN THE WORLD Carefree Travel ANYWHERE IN THE WORLD Information contained in this document is of an indicative nature only and does not bind the Société de l assurance automobile du Québec. Legal deposit Bibliothèque

More information

Workers Compensation Claims Report

Workers Compensation Claims Report Workers Compensation Claims Report Tel: (866) 402-6600 Fax: (866) 402-6601 In life-threatening situations, immediately seek medical assistance, then complete this claim form! All work-related incidents

More information

Dear Valued Clients, Thank you for making your Insurance Dynamic! Kindest Regards, DYNAMIC INSURANCE BROKERS

Dear Valued Clients, Thank you for making your Insurance Dynamic! Kindest Regards, DYNAMIC INSURANCE BROKERS Dear Valued Clients, The Financial Service Commission of Ontario (FSCO), the provincial government regulator of Auto Insurance is introducing reforms effective September 1, 2010. Periodically (usually

More information

PUBLIC AND/OR PERSONAL LIABILITY CLAIM FORM

PUBLIC AND/OR PERSONAL LIABILITY CLAIM FORM PUBLIC AND/OR PERSONAL LIABILITY CLAIM FORM IMPORTANT NOTICE Please read the Claim Form fully prior to answering the questions. If anyone holds you responsible for their accident/injury, insist their claim

More information

16 Steps to Getting a Fair Settlement for Your Injuries

16 Steps to Getting a Fair Settlement for Your Injuries The Petrylaw Personal Injury Reports 16 Steps to Getting a Fair Settlement for Your Injuries 1. Do not talk to anyone except your doctor, attorney or the police officer at the scene. Do not speak with

More information

WHAT ATTORNEYS AND CLAIMS ADJUSTERS REALLY NEED TO KNOW ABOUT COLLISION INVESTIGATION 2 nd Edition

WHAT ATTORNEYS AND CLAIMS ADJUSTERS REALLY NEED TO KNOW ABOUT COLLISION INVESTIGATION 2 nd Edition WHAT ATTORNEYS AND CLAIMS ADJUSTERS REALLY NEED TO KNOW ABOUT COLLISION INVESTIGATION 2 nd Edition Robert E. Stearns, B.S., ACTAR #661 Kinetic Energy Press Rocklin, California Copyright 2007, All Rights

More information

Secure Boat Claim form

Secure Boat Claim form Secure Boat Claim form Notes: The issue of this Claim Form is not an admission of liability on our part. All questions must be fully answered in either black or blue pen. Please print clearly and tick

More information

DAWES MOTOR INSURANCE MOTORCYCLE CLAIM FORM IMPORTANT NOTICES

DAWES MOTOR INSURANCE MOTORCYCLE CLAIM FORM IMPORTANT NOTICES DAWES MOTOR INSURANCE MOTORCYCLE CLAIM FORM P.O. Box 2717 Taren Point NSW 2229 Phone: 1300 188 299 Fax: 1300 662 215 claims@dawes.com.au To ensure prompt attention to your claim, please complete this form

More information

MARKET CONDUCT EXAMINATION ATLANTA CASUALTY COMPANY ATLANTA SPECIALTY COMPANY 3169 HOLCOMB BRIDGE ROAD NORCROSS, GEORGIA 30348

MARKET CONDUCT EXAMINATION ATLANTA CASUALTY COMPANY ATLANTA SPECIALTY COMPANY 3169 HOLCOMB BRIDGE ROAD NORCROSS, GEORGIA 30348 Page 1 of 14 MARKET CONDUCT EXAMINATION OF ATLANTA CASUALTY COMPANY ATLANTA SPECIALTY COMPANY 3169 HOLCOMB BRIDGE ROAD NORCROSS, GEORGIA 30348 JANUARY 1, 1999 DECEMBER 31, 1999 Seattle Washington June

More information

Understanding the Claims Handling Process

Understanding the Claims Handling Process Understanding the Claims Handling Process About This Brochure This brochure was designed to answer frequently asked questions about the claim handling process. If you have other questions or would like

More information

Financial Responsibility. Costs of Owning a Vehicle Trip Planning

Financial Responsibility. Costs of Owning a Vehicle Trip Planning Mod 10 Financial Responsibility Buying a Used Vehicle Costs of Owning a Vehicle Trip Planning Financial Responsibility Law $ Minimum liability coverage $ $500 Uninsured motorist fee Virginia Auto Insurance

More information

Board of Claims General Instructions

Board of Claims General Instructions Board of Claims General Instructions 130 Brighton Park Blvd. * Frankfort, Kentucky * 40601 * 502-573-7986 office Website: boc.ky.gov You must use ink or type the information. Although no filing fee is

More information

DISABILITY CLAIM APPLICATION FORMS For Standard / Partial Payment and Dismemberment Plans

DISABILITY CLAIM APPLICATION FORMS For Standard / Partial Payment and Dismemberment Plans DISABILITY CLAIM APPLICATION FORMS For Standard / Partial Payment and Dismemberment Plans INSTRUCTIONS ALL OF THE FOLLOWING PROPERLY COMPLETED FORMS ARE ESSENTIAL TO THE PROMPT PROCESSING OF YOUR DISABILITY

More information

Accident Investigation Program

Accident Investigation Program County of Knox Accident Investigation Program July 2014 County Administrative Offices 62 Union Street Rockland, Maine 04841 COUNTY OF KNOX Accident Investigation Program County of Knox Accident Investigation

More information

STATE OF CONNECTICUT

STATE OF CONNECTICUT STATE OF CONNECTICUT INSURANCE DEPARTMENT Consumer Affairs Division Arbitration Unit 860.297.3889 or 860.297.3973 Fax: 860.297.3872 INFORMATIONAL PAMPHLET REGARDING ARBITRATION PROCEDURES FOR CERTAIN AUTO

More information

ANYWHERE IN THE WORLD

ANYWHERE IN THE WORLD Notice to readers regarding accessibility: This document meets the requirements of the Québec government standard for Web accessibility SGQRI 008-02 and is accessible to people with disabilities. All notices

More information

INSURANCE BASICS (DON T RISK IT)

INSURANCE BASICS (DON T RISK IT) INSURANCE BASICS (DON T RISK IT) WHAT IS INSURANCE? Risk management tool that limits financial loss due to illness, injury or damage in exchange for a premium Shared Risk- Insurance company collects premiums

More information

1. What s the difference between Limited Tort and Full Tort Auto Insurance Policies?

1. What s the difference between Limited Tort and Full Tort Auto Insurance Policies? Auto 1. What s the difference between Limited Tort and Full Tort Auto Insurance Policies? Limited Tort and Full Tort refer to different types of coverage under a auto insurance policy and what compensation

More information

1.855.254.2713. Record your fleet vehicle information in the following spaces. This information will be needed when filing a claim.

1.855.254.2713. Record your fleet vehicle information in the following spaces. This information will be needed when filing a claim. 1.855.254.2713 PLEASE KEEP THIS INFORMATION IN YOUR VEHICLE AT ALL TIMES These documents outline the procedures you must follow when your fleet vehicle is involved in an accident Record your fleet vehicle

More information

CLIENT INTERVIEW FORM AUTO ACCIDENTS

CLIENT INTERVIEW FORM AUTO ACCIDENTS CLIENT INTERVIEW FORM AUTO ACCIDENTS Please fill out the following form to the best of your ability. YOUR INFORMATION First Name: MI: Last Name: Drivers License #: Date of Birth: Email Phone (work): State:

More information

Your Personal Guide To Your Personal Injury Lawsuit

Your Personal Guide To Your Personal Injury Lawsuit Your Personal Guide To Your Personal Injury Lawsuit Know How To Do Things Right When You ve Been Wronged You have questions. And most likely, you have a lot of them. The good news is that this is completely

More information

LEGAL ETHICS IN CTP LITIGATION. Hon John Doyle AC, QC Peter Day, Jeffcott Chambers Brenton James, Hunt & Hunt

LEGAL ETHICS IN CTP LITIGATION. Hon John Doyle AC, QC Peter Day, Jeffcott Chambers Brenton James, Hunt & Hunt LEGAL ETHICS IN CTP LITIGATION Hon John Doyle AC, QC Peter Day, Jeffcott Chambers Brenton James, Hunt & Hunt JD (John Doe) was involved in a motor vehicle accident. He was a passenger travelling with his

More information

Handling Your Own Property Damage Claim After An Auto Accident in Texas

Handling Your Own Property Damage Claim After An Auto Accident in Texas Handling Your Own Property Damage Claim After An Auto Accident in Texas Table of Contents Handling Your Own Property Damage Claim after an Auto Accident in Texas... 1 Introduction... 3 Chapter 1... 4 Important

More information

what to do in case of an auto accident

what to do in case of an auto accident what to do in case of an auto accident Keep this pamphlet with a pencil and paper and your insurance card in your car. What These Words Mean Scene The place where the accident happened. Witness A person

More information

19. Injury, Accident, and Loss Reporting

19. Injury, Accident, and Loss Reporting 19. Injury, Accident, and Loss Reporting Overview This section discusses the following topics: Where to Report Claims Reporting Workers Compensation Illnesses and Injuries Reporting Automobile Accidents

More information

COMMERCIAL AUTO APPLICATION

COMMERCIAL AUTO APPLICATION COMMERCIAL AUTO APPLICATION Dependent upon state authority, you are applying for insurance coverage provided by and underwritten by one of the following insurance companies of ARGO GROUP US: ARGONAUT-MIDWEST

More information

made simple Auto Insurance What s included:

made simple Auto Insurance What s included: Auto Insurance made simple What s included: How to read your Allstate Auto Policy Declarations Understanding auto insurance: Coverages Deductibles Coverage limits What to do in case of an accident Frequently

More information

Wesley Theological Seminary Motor Vehicle Operation Policy

Wesley Theological Seminary Motor Vehicle Operation Policy Wesley ological Seminary Motor Vehicle Operation Policy Effective Date: 2/1/2007 Related Materials: Covenant for Drivers PURPOSE: following guidelines for the operation and maintenance of motor vehicles

More information

GOODS MOVEMENT REGION of PEEL INCIDENT MANAGEMENT (POLICE ACTIVITY)

GOODS MOVEMENT REGION of PEEL INCIDENT MANAGEMENT (POLICE ACTIVITY) GOODS MOVEMENT REGION of PEEL INCIDENT MANAGEMENT (POLICE ACTIVITY) Staff Sergeant Todd Ruston Staff Sergeant Doug Fenske POLICE ACTIVITY TRAFFIC STOPS COLLISION INVESTIGATION 26/10/2012 2 Traffic Stops

More information

Warning! Warning! A plain vanilla Business Auto Policy (BAP) does not serve as a substitute for a

Warning! Warning! A plain vanilla Business Auto Policy (BAP) does not serve as a substitute for a The Business Auto Policy, AKA The Commercial Auto Program Warning! Warning! A plain vanilla Business Auto Policy (BAP) does not serve as a substitute for a Personal Auto Policy (PAP). Unless you're in

More information

secure boat claim form

secure boat claim form secure boat claim form NOTES: The issue of this Claim Form is not an admission of liability on our part. All questions must be fully answered in either black or blue pen. Please print clearly and tick

More information

SETTLEMENT EXPERIENCE AUTO INSURANCE CLAIMS

SETTLEMENT EXPERIENCE AUTO INSURANCE CLAIMS ENHANCING YOUR CLAIMS SETTLEMENT EXPERIENCE AUTO INSURANCE CLAIMS Enhancing Your Claims Settlement Experience Auto INSURANCE CLAIMS Your vehicle is an integral part of your life. Our aim is to make the

More information

Barometer of Liability Chart v3 dated 1 Jun 08 The new scenarios and rules will be applicable for accidents occurring from 1 Jun 08 onwards.

Barometer of Liability Chart v3 dated 1 Jun 08 The new scenarios and rules will be applicable for accidents occurring from 1 Jun 08 onwards. Barometer of Liability Chart v3 dated 1 Jun 08 The new scenarios and rules will be applicable for accidents occurring from 1 Jun 08 onwards. The Barometer of Liability Chart will apply in the following

More information

CHILDREN S INJURIES. There is never any attorney fee until your child s case settles.

CHILDREN S INJURIES. There is never any attorney fee until your child s case settles. BICYCLE ACCIDENTS If you have been seriously injured when bicycling, please call me for a consultation. Bicycling is an enjoyable hobby. Many people also ride their bicycles to work. However, it should

More information

Conclusions: 1. No, qualified. 2. Yes. 3. No, qualified. Discussion:

Conclusions: 1. No, qualified. 2. Yes. 3. No, qualified. Discussion: FORMAL OPINION NO 2005-158 [REVISED 2015] Conflicts of Interest, Current Clients: Representing Driver and Passengers in Personal Injury/Property Damage Claims Facts: Lawyer is asked to represent both the

More information

One size doesn t fit all

One size doesn t fit all One size doesn t fit all Size counts What does a two-truck operation have in common with a 62-vehicle fleet? Of course there are similarities, but there are some fundamental differences. We understand

More information

MOTOR VEHICLE ACCIDENT QUESTIONNAIRE & CHECKLIST

MOTOR VEHICLE ACCIDENT QUESTIONNAIRE & CHECKLIST EQUILAW Solicitors Ph: 02 6542 5566 Market House 4 Market Street Muswellbrook NSW 2333 Fax: 02 6543 4397 info@equilaw.com.au equilaw.com.au MOTOR VEHICLE ACCIDENT QUESTIONNAIRE & CHECKLIST Bring this completed

More information

MOTOR VEHICLE CLAIM FORM

MOTOR VEHICLE CLAIM FORM MOTOR VEHICLE CLAIM FORM Dear Policyholder, We re sorry to hear you ve had an accident. Our aim is to settle your claim as quickly as possible. You can help us do this by ensuring the enclosed claim form

More information

Summary of Important Changes to Your Policy You Now Have More Choice

Summary of Important Changes to Your Policy You Now Have More Choice Summary of Important Changes to Your Policy You Now Have More Choice Recent reforms introduced by the Ontario government will give you more choice over the coverages and price you pay for auto insurance.

More information

CLAIMS REPORTING KIT. Administered by

CLAIMS REPORTING KIT. Administered by CLAIMS REPORTING KIT Administered by 451 Diamond Drive Ephrata, Washington 98823 (509) 754-2027; Fax (509) 754-3406 Toll Free (800) 407-2027 Report all accidents and losses as soon as possible to your

More information

Top 10 Mistakes Made After A Car Accident. www.chaikinandsherman.com 202.659.8600 800.299.8384

Top 10 Mistakes Made After A Car Accident. www.chaikinandsherman.com 202.659.8600 800.299.8384 Top 10 Mistakes Made After A Car Accident www.chaikinandsherman.com 202.659.8600 800.299.8384 1 In this Top Ten List, we have drawn upon our decades of experience in handling car accident cases to compile

More information

ACCIDENT, INJURY, AND INCIDENT REPORTING PROCEDURES

ACCIDENT, INJURY, AND INCIDENT REPORTING PROCEDURES ACCIDENT, INJURY, AND INCIDENT REPORTING PROCEDURES VEHICLE ACCIDENTS/PROPERTY DAMAGE Non-Workers Compensation Accident Report Form Attached is a sample copy of the accident report for vehicle damage,

More information

MOTOR VEHICLE CLAIM FORM

MOTOR VEHICLE CLAIM FORM MOTOR VEHICLE CLAIM FORM (If there is not enough room on this form for your answers, please attach a separate sheet, indicating the Section and Question you wish to complete.) Please lodge your claim to

More information

VEHICLE DAMAGE CLAIMS*

VEHICLE DAMAGE CLAIMS* VEHICLE DAMAGE CLAIMS* ACCIDENTS HAPPEN! Unfortunately, road traffic collisions are all too common with over 30,000 accidents occurring on Irish roads each year. When an accident happens it can be a stressful

More information

Transportation solutions driven by your business. The holistic alternative for BC based trucking business

Transportation solutions driven by your business. The holistic alternative for BC based trucking business Transportation solutions driven by your business The holistic alternative for BC based trucking business TM An integrated plan delivered by a leading global insurer, and the largest insurer of Transportation

More information

Motor Insurance. with. Here to help your world

Motor Insurance. with. Here to help your world Motor Insurance with Here to help your world If you breakdown we ll be there If your car breaks down or you have a roadside emergency (e.g. a flat tyre, or you run out of fuel), it is reassuring to know

More information

Notice of Claim. Last First Middle Area Code/ Telephone Number. Last First Middle Area Code/ Telephone Number

Notice of Claim. Last First Middle Area Code/ Telephone Number. Last First Middle Area Code/ Telephone Number Claimant: Notice of Claim Last First Middle Area Code/ Telephone Number Street Address Additional Address City State Zip Date of Birth Social Security Number If Notices and correspondence in connection

More information

Tort Claim Form PLEASE CHECK THE FOLLOWING TO MAKE SURE ALL PERTINENT INFORMATION IS GIVEN BEFORE SUBMITTING YOUR CLAIM.

Tort Claim Form PLEASE CHECK THE FOLLOWING TO MAKE SURE ALL PERTINENT INFORMATION IS GIVEN BEFORE SUBMITTING YOUR CLAIM. Tort Claim Form If you have suffered an injury or damage to your property that you believe is the result of the negligence or actions of Rowan University or of individual(s) acting in the capacity of employee(s)

More information

BEFORE THE ARKANSAS WORKERS COMPENSATION COMMISSION CLAIM NO. G403413 (1/21/2014) STANLEY SEAGLE, EMPLOYEE CLAIMANT

BEFORE THE ARKANSAS WORKERS COMPENSATION COMMISSION CLAIM NO. G403413 (1/21/2014) STANLEY SEAGLE, EMPLOYEE CLAIMANT BEFORE THE ARKANSAS WORKERS COMPENSATION COMMISSION CLAIM NO. G403413 (1/21/2014) STANLEY SEAGLE, EMPLOYEE CLAIMANT JOLLY FARMS, LLC., UNINSURED EMPLOYER RESPONDENT OPINION FILED JUNE 16, 2015 Hearing

More information

GUIDE TO PERSONAL INJURY/ACCIDENT CLAIMS

GUIDE TO PERSONAL INJURY/ACCIDENT CLAIMS GUIDE TO PERSONAL INJURY/ACCIDENT CLAIMS At Richard Grogan & Associates we have Solicitors with significant experience and expertise who will advise and guide you through all matters relating to bringing

More information

Holburn Holdings (Pty) Limited Insurance Brokers VAT No. 4690259439

Holburn Holdings (Pty) Limited Insurance Brokers VAT No. 4690259439 Holburn Holdings (Pty) Limited Insurance Brokers VAT No. 4690259439 Block C, Abrey Eco Park, 5 Abrey Road, Kloof, 3610 FSP Licence No. 45159 P.O. Box 198, Gillitts, 3603 031 7640481 Fax: 031 7640178 or

More information

KIB Insurance Brokers (S) Pte Ltd

KIB Insurance Brokers (S) Pte Ltd These notes are meant to be a summary of procedures commonly adopted and they do not purport to cover every situation IN THE EVENT OF CLAIM, PLEASE NOTIFY THE FOLLOWING: KIB Insurance Brokers (S) Pte Ltd

More information

Michigan Property & Casualty Guaranty Association P.O. Box 531266 Livonia, Michigan 48153-1266 Phone: (248) 482-0381

Michigan Property & Casualty Guaranty Association P.O. Box 531266 Livonia, Michigan 48153-1266 Phone: (248) 482-0381 Michigan Property & Casualty Guaranty Association P.O. Box 531266 Livonia, Michigan 48153-1266 Phone: (248) 482-0381 Dear Claimant: The Michigan Property & Casualty Guaranty Association ("the MPCGA") is

More information

(404) 919-9756 david@davidbrauns.com www.davidbrauns.com

(404) 919-9756 david@davidbrauns.com www.davidbrauns.com You are probably reading this guide because you were recently in an automobile accident. Now you are faced with some difficulties. The tasks of managing your care and your insurance claim can be confusing

More information

Motor Vehicle Claim Form

Motor Vehicle Claim Form Motor Vehicle Claim Form Dear Policyholder, We re sorry to hear you ve had an accident. Our aim is to settle your claim as quickly as possible. You can help us do this by ensuring the enclosed claim form

More information

O LEARY INSURANCE GROUP

O LEARY INSURANCE GROUP PART A - POLICYHOLDERS DETAILS Your name: Your Insurer + Policy Number: Your address: Your e-mail address (if any): Your occupation: Phone numbers Daytime: Evening: Mobile: Fax: Are you registered for

More information

Insurance for Small to Medium Fleets

Insurance for Small to Medium Fleets Insurance for Small to Medium Fleets At Daimler Truck Financial, every customer is important. We ve been doing business that way since day one, which is why we have been a leader in the industry for close

More information

Claim form Motor accident

Claim form Motor accident Claim form Motor accident 30 EAGLE STAR INSURANCE COMPANY (IRELAND) LTD CGL 25495 A member of the Zurich Financial Services Group www.eaglestar.ie Motor accident Policy number: Claim number: This form

More information

Loss of Use. Basic Autopac coverage Optional Extension coverage for extra protection

Loss of Use. Basic Autopac coverage Optional Extension coverage for extra protection Loss of Use Basic Autopac coverage Optional Extension coverage for extra protection Stay on the road with Loss of Use coverage If you rely on your vehicle daily, a collision or vehicle theft could cause

More information

Dear Sir/Madam: Thank you for this opportunity to be of service, and please do not hesitate to contact our claims center if you have any questions.

Dear Sir/Madam: Thank you for this opportunity to be of service, and please do not hesitate to contact our claims center if you have any questions. Dear Sir/Madam: Kindly be advised that National Adjustment Bureau has been authorized by underwriters to adjudicate your claim. We look forward to resolving your claim in a prompt and equitable manner.

More information

Compulsory Third Party Personal Injury Claim Notification

Compulsory Third Party Personal Injury Claim Notification Compulsory Third Party Personal Injury Claim tification To claim damages for personal injuries in a motor vehicle accident, please complete this form in BLOCK LETTERS 2. Do you have a solicitor acting

More information

answers to some of the tough questions that insurers get asked in Ontario. We hope it helps you own the road this summer.

answers to some of the tough questions that insurers get asked in Ontario. We hope it helps you own the road this summer. Dear colleague, We ve prepared this Q&A backgrounder to arm you with answers to some of the tough questions that insurers get asked in Ontario. We hope it helps you own the road this summer. We ll follow

More information

800 How s My Driving? Identify risky driving behavior and promote your company s commitment to safety.

800 How s My Driving? Identify risky driving behavior and promote your company s commitment to safety. Identify risky driving behavior and promote your company s commitment to safety. As much as you strive for a safer fleet, you can t always be there to monitor your fleet drivers. But with LeasePlan s program,

More information

Securing the Evidence: Critical Steps in Investigation of a Crashworthiness Case

Securing the Evidence: Critical Steps in Investigation of a Crashworthiness Case Securing the Evidence: Critical Steps in Investigation of a Crashworthiness Case By Joel S. Rosen, Esquire The initial investigation of a claim and collection of evidence related to that claim can often

More information

PUBLIC/PERSONAL LIABILITY CLAIM FORM

PUBLIC/PERSONAL LIABILITY CLAIM FORM ACE Insurance Limited PUBLIC/PERSONAL LIABILITY CLAIM FORM McKenna Hampton Pty Ltd "Kandahar House" Level 1, 41-43 Ord Street West Perth WA 6005 PO Box 204, West Perth WA 6872 Phone: 08 6142 0000 Fax:

More information

MOTOR VEHICLE CLAIM FORM

MOTOR VEHICLE CLAIM FORM MOTOR VEHICLE CLAIM FORM Dear Policyholder, We re sorry to hear you ve had an accident. Our aim is to settle your claim as quickly as possible. You can help us do this by ensuring the enclosed claim form

More information

COMMERCIAL MOTOR CLAIM FORM

COMMERCIAL MOTOR CLAIM FORM COMMERCIAL MOTOR CLAIM FORM Please complete in full all sections of this claims form and return it to Insuret as soon as possible after the accident. Unless specifically arranged beforehand, no repairs

More information

Accident Reporting & Investigation Policy and Guidance

Accident Reporting & Investigation Policy and Guidance Accident Reporting & Investigation Policy and Guidance INTRODUCTION Torbay Council is committed to providing an environment which is as healthy and as safe as possible for its staff, visitors and the local

More information

MAXIMIZE YOUR PERSONAL INJURY SETTLEMENT

MAXIMIZE YOUR PERSONAL INJURY SETTLEMENT MAXIMIZE YOUR PERSONAL INJURY SETTLEMENT Part I: Find Insurance Coverage: Look at Accident Report & Write Letters People injured in a car accident in Florida should easily be able to locate car insurance

More information