Claims

General Liability Claim Form

Relax, we're here to help.

1

Fill out the incident report below.

2

An Intrepid claims service rep will review and contact you ASAP.

3

We’ll work with you and relevant parties to resolve the claim as quickly as possible

    * indicates a required field

    Reporter info (you)
    Name of reporter *
    Insured info
    Store address *
    Claimant info
    Claimant address
    Occurrence info
    Anything else?