Liability and Other Incidents

Liability and Other Incidents

File a Liability/Other Incidents Claim

​​Complete the form below to send us your initial claim or incident report. Sections marked with an (*) are required. At the bottom of the page, you are able to upload documents and photos related to your claim. We will follow up with you soon after the report is submitted and received. Please always feel free to contact us at 800-882-0801. Thank you.
  • Incident Report Form

  • :
  • Incident Details

  • Upload Photos and Documents

    Use this section to upload any photos or documents related to this claim. If you're using a mobile device, you can easily snap photos with your smartphone after clicking any of the 'Choose File' buttons below. We accept photos of all documents including police reports.
  • Drop files here or
    Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 50 MB.
    • Click below to submit your report. We will follow up with you asap.

    • This field is for validation purposes and should be left unchanged.