Full and complete responses to all of the requested information will assist in

the investigation and processing of your potential claim.

NOTE – You must fill out all boxes and submit photos of incident report in order for proper submission.

All customers are required to report any incidents within 24-48 hours of occurrence.

Failure to submit an incident report within this timeframe will result in forfeiture of the case.

It is the responsibility of the customer to promptly submit incident reports using the provided form.

Thank you for your cooperation in maintaining a safe environment for all.