Fill out the incident report below.
An Intrepid claims service rep will review and contact you ASAP.
We’ll work with you and relevant parties to resolve the claim as quickly as possible
gather the following information:
- Your Name
- Your Address
- Your Phone Number
- Your Policy Number
- The Policy Period
- A written narrative of the circumstances surrounding the claim or potential claim
- Names and addresses of the claimant
- Details of the any underlying claim, including current status and the amount in controversy or relief demanded.
- If you are submitting the report by mail or fax, please also include any letters of demand or any legal papers which you have received regarding the claim.