You can report the following types of losses through this application: Auto, property, WC and General Liability/Umbrella.

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1 Crum&Forster Internet Claim Reporting - Auto The Crum&Forster Internet loss reporting facility can be accessed through the C&F website by entering or You must have a valid ID and Password for the Crum&Forster CIA loss Web site. If you do not have such an ID please contact your Regional Claims Manager. Losses entered through the Internet application will be electronically transmitted to the Crum&Forster office responsible for handling the loss. Office information will display on the final screen in the reporting process. Each report is assigned an Incident Number. This number will display on the last screen. This is not a claim number. Claim numbers are assigned after the loss is transmitted to the appropriate handling office, In order to enter a loss through the Internet Loss Reporting application, you should have a valid 9 digit Crum&Forster policy number. You can search by insured name but without knowing exactly how the insured is listed in the database you may not find a match. You can report the following types of losses through this application: Auto, property, WC and General Liability/Umbrella. Instructions for reporting a loss through this application follow.

2 The Crum&Forster Internet loss reporting facility can be accessed on the Web by entering or Choose the Report a Claim Option. Enter your ID and Password.

3 Hit the < Enter an Incident > button.

4 You should have a valid 9-digit C&F policy number in order to use the Internet Reporting facility. While you can enter an insured name, unless you know exactly how it is stored in the database, you may not find a match. Enter the 9 digit policy number n the Search Criteria Criteria field on the left side of the screen. Before hitting the <Find > button, enter the Date of Loss in the Event Day/Time field on the right side of the screen. Hit the <Find > button to the right of the policy number to display the policy record for the entered policy number. The system will display a match to the policy number and date of loss entered on the previous screen if the date of loss falls within the effective dates of the entered policy number. If nothing displays above, the entered policy number and date of loss combination were not valid. If more than one line displays, choose the line displaying the line of business and the policy effective dates appropriate to the loss being reported. PL = Property, AL = Auto, WC = Worker s Comp, GL = General Liability/Unbrella. Hit the Crum & Forster link in the first column on the left of the screen. The original screen will redisplay with information for the chosen policy.

5 Hit the <Find > button in Section 3 Product. Choose the link displaying the appropriate line for the claim you are reporting. The line you choose must contain information in the Inception, Termination and Policy fields.

6 The screen information is now complete. Hit the < Next Step > button to continue.

7 You can now begin entering loss information. There are multiple tabs on the top of the screen. These tabs depend on the type of loss you are entering. Each represents a screen requiring specific LOB information that needs to be completed in order to complete the loss. You can move from screen to screen in any sequence. Once a field has been completed, it is immediately saved. There are 2 ways to move from screen to screen. You can hit the Next Step button on the lower right of the screen or use the tab indicators running across the top of the screen. Client Tab - The Client screen above is the same for each line of business. You need to enter information relating to the person completing the loss report. Enterable fields display in white. Once entered you can move to the next screen by hitting the next tab displaying on the top of the screen or by hitting the < Next Step > button on the lower right of the screen. From this point, the screens that display are unique to the type of loss you are entering. There are 4 different sets of screens: Auto, WC, Property, General Liability/Umbrella. Following is the process associated with entering an Auto loss.

8 Incident Tab: This screen allows for a textual accident description and accident location information. Witness information is entered by hitting the <Witness> button. The <Find> button on the right side of the screen will fill the city, state and county information corresponding to the entered zip code. Once the screen is complete, hit the <Next Step> button on the lower right or the Involved Parties tab on the top of the screen,

9 Involved Party tab: This screen captures all people involved in the loss. First complete information for the insured followed by the insured driver, other drivers etc 1 Inv Party - Hit the <Fill> button to bring over insured information. 2 Injury If the involved party being entered was injured, choose appropriate accident descriptions from the drop downs. Industry standard IAIABC descriptions are used. 3 - Med Provider If the involved party being entered saw a medical provider hit the <Med Prov> button. 4 - Involvements Choose the involvement type from the drop down choices for the involved party being entered. The type choices are insured driver, owner, 3 rd party, pedestrian, insured passenger, 3 rd party passenger. 5 - Link - The <Link> button to the right of Involvements is used to link vehicle or property to the party being entered. All involved parties, except for pedestrians must be linked to a vehicle or property. Once linked, the Involved Party and vehicle/property will display in the Involvements section.

10 6 - New / Delete - Once the involved party information, the roll and the vehicle property are linked you can add another party by hitting the <New> button under Involved Party section on the lower right of the screen. This allows that every person involved in the loss can be entered individually and linked to vehicle/property information. Hitting the <New> button clears out all entered data so that additional involved parties can be entered. Hitting <New> saves all previously entered data. Hit < Next Step > to move to the next screen.

11 Supplemental tab The Supplemental screen allows the user to request a copy of the completed loss. Copies may be sent via and/or fax depending on what information is provided. Notes/Additional Comments Any information not already entered can be entered here. Hit the Finish tab or the < Next Step > button on the lower right.

12 Finish tab If any errors are detected on any of the previous tabs, they will be noted on the bottom of this screen. There are 2 types of error: Errors (red) and Warnings (orange). Errors must be corrected before the report is disseminated. Warnings do not have to be corrected. The error link at the bottom of the screen across from the error message will take you to the screen and field needing correction. The upper portion of the screen displays the Incident Number of the loss. This is not a claim number. Claim numbers are assigned after the loss is transmitted to the appropriate handling office. The C&F handling office displays as well, When ready to finalize the loss and send it to C&F choose Complete in the <Status > field drop down on the right side of the screen and hit the < Finish > button on the lower right You will be notified when the loss has been assigned a file handler and a claim number.