Hired & Non-owned Auto 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)
Is this for record only?
Choose yes to report the claim as an incident not requiring an investigation. For example, your driver isn’t at fault for the accident but you want a record of the incident anyway.
Insured info
Store address (required)
Driver info
Driver's vehicle
Accident info
Other party info
Other party's vehicle
Anything else?