Were you or one of your employees involved in an auto accident? Complete the below form to the best of your
ability and an InterWest property and casualty claims professional will contact you as soon as possible but
not more than one business day. If this is a claim involving major injuries or death, see the Emergency Claim
Reporting Instructions under the Submit A Claim page. We ask you complete the form with the available
information, however, if you do not have the information or it doesn’t apply simply leave it blank. Let our
experience guide you!