Home
About Us
Personal Insurance
Auto Insurance
Home Insurance
Recreational Insurance
Watercraft Insurance
Commercial Insurance
Tools & Resources
Web Links
Insurance Tips
Glossary Of Terms
Downloadable Forms
Policy Change Forms
Add Vehicle
Address Change
Change Use of Vehicle
Delete Vehicle
Replace Vehicle
Claims
Automobile Claims
Property Claims
Commercial Claims
RIBO Conduct Sheet
CISRO Principles of Conduct
Quote Requests
Home Insurance
Auto Insurance
Commercial Insurance
Watercraft Insurance
Cottage Insurance
News- COVID 19 Updates
Contact
Insurance Partners
Telephone:
1-705-746-2441
Get a Quote
Automobile Claims
Policy Holder Information
Policy Number:
Primary Contact Person:
Home Phone:
Work Phone:
Where should we contact you:
Please Select
Home
Office
Best time to contact you:
Please Select
Morning
Afternoon
Evening
Accident Information
Who was driving:
Date of Loss or Accident:
Calendar
Today
Time of Accident:
Vehicle Year (yyyy):
Vehicle Make:
Vehicle Model:
Is the vehicle drivable:
Yes
No
If no, where can the vehicle be inspected:
Please provide as much detail as possible regarding the claim in the space provided below. A representative will contact you shortly. (Max 500 characters):
Did any injuries result from the accident:
Yes
No
If yes, please provide names, addresses, phone numbers and the extent of the injuries. (max 500 characters):
Other Driver Information
Full Name:
Insurance Provider:
Policy Number:
Contact Phone:
Licence Plate #:
Vehicle Year (yyyy):
Vehicle Make:
Vehicle Model:
Location of Accident
City/Provice:
Police Contacted:
Yes
No
Officer's Name:
Officer's Badge Number:
Report Number:
Were there witnesses:
Yes
No
Witness #1
First Name:
Last Name:
Contact Phone:
Work Phone:
Email Address:
Name of your Broker: