General Liability Claim Form

Relax, we're here to help.


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

Reporter info (you)
Name of reporter (required)
Choose yes to report the claim as an incident not requiring an investigation. For example, a customer fell in the dining room but didn’t appear make a report.
Insured info
Store address (required)
Claimant info
Claimant address
Occurrence info
Anything else?