What To Do In The Event Of An Accident / Claim:

Transcription

1 Accident Management Reporting and Repair Guide (Please leave these instructions in your company vehicle) Any collision damage or comprehensive damage (vandalism, flood, miscellaneous damage, fire, theft, etc.), which occurs to your company vehicle, should be immediately reported to: FLEET49 ( ) ARI Claims Technicians are standing by 24 hours a day, 7 days a week, 365 days a year to take your report and offer whatever assistance is necessary. What To Do In The Event Of An Accident / Claim: POLICE To protect yourself and your company, it is vital the police are contacted and take a report of any incident. You should receive a case / report number from the police. The police department and case / report number should be given to the ARI Claims Technician. REPORTING CHECK LIST Every incident should be reported directly to FLEET49 ( ). An ARI Claims Technician will take a complete report over the telephone. A Claim Report form follows this page. You may note the details of the accident on this form. All injuries should be immediately reported to your company. Depending on your company s policies and procedures, you may also need to report any incident / injuries to your employer s insurance company. ARI is only involved with the repairs to your company vehicle. Other Vehicles & People Involved - Again, it is very important to protect yourself and your company by gathering as much information as possible, including information about the other vehicle(s) and driver(s) involved in the incident. Please see the following Claim Report which can be used to help gather this information. NOTE These steps are vital in protecting you and your company. The telephone and written reports will confirm your account of the incident and help to collect any damages owed by responsible party(ies).

2 How Does ARI Help? o TOWING: ARI can arrange towing on your behalf where necessary o REPLACEMENT TRANSPORTATION: If your company permits, ARI can provide a rental vehicle on your behalf so that you are not left without transportation. o REPAIR FACILITY: ARI will arrange repairs with one of our local repair facilities convenient to you. You will not be required to obtain multiple estimates. The shops in our repair network are pre-approved repair facilities who know to contact ARI with estimates. ARI will monitor the repairs and pay the shop directly on your behalf. You will be contacted when your vehicle is completed. o SUBROGATION: If your company is enrolled in ARI s subrogation program and you are not at fault for the accident, ARI will immediately initiate a claim against the responsible party(ies) on your behalf for damages to your company vehicle. **** Our goal is to provide you with the best possible service. Please do not hesitate to contact us at any point during the repair process with any questions or concerns at FLEET49 ( ) ****

3 CLAIM REPORT CHECKSHEET Client No. Claim No. Vehicle No. Please use this claim form to assist you in collecting the information necessary to report your accident to ARI. Report your accident to ARI by calling FLEET49 ( ). Your Vehicle Vehicle Assigned to: Driver When Claim Occurred: (If different from assigned drvr) Address: Address: City, State, Zip: City, State, Zip: Phone: Phone: Describe Damage: Other Vehicle #1 Owner: Driver of Vehicle: (If different from Owner) Address: Address: City, State, Zip: City, State, Zip: Phone: Phone: Vehicle Year: Insurance Carrier: Vehicle Make: Insurance Agent: Vehicle Model: Policy #: Vehicle VIN#: Agent s Phone: Describe Damage:

4 Other Vehicle #2 Owner: Driver of Vehicle: (If different from Owner) Address: Address: Phone: Phone: Vehicle Year: Insurance Carrier: Vehicle Make: Insurance Agent: Vehicle Model: Policy #: Vehicle VIN#: Agent s Phone: Describe Damage: Witnesses / Other Involved Parties Name: Name: Address: Address: Phone: Phone: Pedestrian Passenger Your Vehicle Pedestrian Passenger Your Vehicle Other Passenger Other Vehicle Other Passenger Other Vehicle Injuries Name: Name: Address: Address: Phone: Phone: Pedestrian Passenger Your Vehicle Pedestrian Passenger Your Vehicle Other Passenger Other Vehicle Other Passenger Other Vehicle Accident Scene Date of Accident: Time of Accident: AM PM Accident Location (Street Number): City, State: Weather: Police contacted: Yes No Station: Phone: Officer s Name: Report Number:

5 DESCRIBE ACCIDENT IN DETAIL PLEASE COMPLETE THE FOLLOWING DIAGRAM SHOWING DIRECTIONS AND POSITIONS OF AUTOMOBILES OR PROPERTY INVOLVED. BE SURE TO CLEARLY INDICATE THE POINT OF IMPACT, LABEL ALL STREETS AND SHOW THE TRAFFIC CONTROL DEVICE FOR EACH STREET (i.e. LIGHTS, STOP SIGN, ETC.). INSTRUCTIONS: (1) NUMBER EACH VEHICLE AND SHOW THE DIRECTION OF TRAVEL BY AN ARROW. SHOW YOUR VEHICLE AS VEHICLE #1 1 (2) USE A SOLID LINE TO SHOW THE PATH OF EACH VEHICLE BEFORE THE ACCIDENT. (3) USE A DOTTED LINE TO SHOW THE PATH OF EACH VEHICLE AFTER THE ACCIDENT.