R.W. Troxell & Company

Saturday, May 17, 2008

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Auto


New Claims Reporting
Customer Name
Address
City, State
Zip
Daytime Phone
Home Phone
Cell Phone
E-mail
Policy Number (If Applicable)
Date of Incident
If this is an automobile accident:
Auto Involved:
Year
Make
Model
Is your vehicle driveable? If not where was it towed?
Was there more than one vehicle involved? If so, what is the year, make and model of the other vehicle and what is the owner/drivers name?
Were there any injuries?
Note: If the police were contacted, please have the motorist report they provided available when the claims specialist calls.