( 632) 891-1329 to 37

Requirements

The following must be submitted in order to facilitate the evaluation/processing of claim and/or issuance of our Letter of Authority to Repair (LOA).

OWN DAMAGE (Damage to your vehicle)

  • Police report
  • Driver’s statement/affidavit
  • Xerox copy of driver’s license with official receipt
  • Xerox copy of registration certificate with official receipt
  • Picture of damage portion
  • Xerox copy of policy
  • Xerox copy of official receipt of premium payment
  • Stencil of motor & chassis number
  • Repair estimate

THIRD PARTY PROPERTY DAMAGE

  • Police report
  • Affidavit/statement of both drivers
  • Driver’s license with official receipt of both drivers
  • Xerox copy of registration certificate with OR both vehicles
  • Picture of damaged portion of both vehicles
  • Xerox copy of the policy of the inured with official receipt
  • Stencil of motor & chassis number of both vehicles
  • Repair estimate
  • Certificate of No Claim from the insurer of the adverse party

THIRD PARTY BODILY INJURY

  • Police report
  • Driver’s statement/affidavit
  • Driver’s license with official receipt
  • Registration certificate with official receipt
  • Xerox copy of OR of premium payment
  • Xerox copy of certificate of cover or policy
  • Original medical certificate
  • Original medical receipt
  • Stencil of motor and serial number
  • Hospital statement of account
  • Original prescription receipt

DEATH CLAIM

  • Police report
  • Driver’s statement/affidavit
  • Driver’s license with OR
  • Registration certificate with OR
  • Xerox copy of certificate of cover
  • Xerox copy of OR premium payment
  • Death certificate of victim
  • Birth certificate of victim
  • Marriage license of parents of victim
  • Original funeral receipts