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

    * indicates a required field

    Reporter info (you)
    Name of reporter *
    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 *
    Driver info
    Driver's vehicle
    Accident info
    Other party info
    Other party's vehicle
    Anything else?