Claim Requirements
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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 & chasis 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