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Report a Claim

If you were just in an auto accident, please make sure you are in a safe area before filling out the form below.

Important information to obtain:

• Date and time of when the accident occurred
• Location of accident (write down street names and landmarks)
• Year, make, model and plate number of the other vehicle(s)
• Driver’s name, address, and phone number of the other vehicle(s)
• Owner’s name, address, and phone number (if not the driver)
• Name, address, and phone number of the other vehicle(s) occupants
• Name of the insurance carrier for the other vehicle
• Policy number for the other vehicle, if available
• Name and phone number of witnesses
• Name, address, and phone numbers of anyone who may have been injured in any of the vehicles

If you would like to report a claim to us directly, please contact us at 206-230-0111, or you are welcome to complete the form below and submit it to our office.