Here s how to use the Auto Accident kit documents. For each vehicle, please: Form Print out Use of form
|
|
- Lily Kennedy
- 5 years ago
- Views:
Transcription
1 Here s how to use the Auto Accident kit docuents. For each vehicle, please: For Print out Use of for University DOUBLE Front cover Evidence of Coverage SIDED to show to police Auto Accident For Use for to report accidents to UI Fold into tri fold brochure Risk at risk@uidaho.edu State of Idaho Citizen Clai Procedure Tuck this page into the brochure Single sided Give this to the other party involved in an accident. This for gives directions to other party on how to subit their clai to State of Idaho. When you need a new Auto Accident kit, siply go to Risk s webpage, and generate a new brochure.
2 Blank Page
3 University of Idaho iiwsafe Driving Tips./ Choose to drive defensively./ Buckle up./ Take a oent to learn the car./ Operate cell phone ONLY when not driving./ Always check your blind spot./ Start slowly./ Keep a safe distance fro vehicle in front of you./slow down./ Pass safely, if you ust./ Back up safely./ Use "cover your brake" technique./ Stop safely What to give the other vehicle If the other party feels that the university driver is responsible for the accident, provide hi/her with the "Citizen's Clai Procedure (green for)." Do NOT give the other party a copy of the Auto Accident Guide. You ay show the other vehicle and the police the Evidence of Coverage on the front of this. University of Idaho iiw Instructions 1. Offer Assistance to anyone injured Do not ove injured unless absolutely necessary 2.Notify the police 3. Don't coent on the accident. Give inforation as requested by police and provide all other inforation and coents only to University Risk Manageent Office. 4. Do not accept responsibility for the accident. Do be courteous. If the other party feels that the university driver is responsible for the accident, provide hi/her with the "Citizen's Clai Procedure (green for)." Do NOT give the other party a copy of the. 4. Fill out this for. Coplete as uch as possible at the accident site. Send to: risk@uidaho.edu OR ail to University of Idaho Risk Manageent 875 Perieter Dr., MS 2433 Moscow, ID Obtain estiates of daage. If the university vehicle is covered by auto physical daage insurance, please obtain two estiates of repair costs and forward to Risk Manageent at ail stop NOTE: Do not delay sending this accident report: send estiates separately. University of Idaho iii Evidence of Coverage 6 ;.,a:: o,; ; ci; c., (") n1 l:b l!j n1 oi c=; n1 fii... :ti,!it?... c., :ti, i :c c=; 5 Show evidence of coverage to police when requested 'T1 ;::l.".'x,c '2. ; ct. ::, if a s:: c... C: '< ( s... C: I\.) C: I C/1 u, :: iii" 3: Q) ( _, 3 < 3. "'O a ( ii'l 3 I f G) = Cl ; ::, [ "C O >< "'O... :t ( C, ii3 3 "C Q 3 n... en en... o II) )> Q.... oi 3 Q. C/1 iii" _ II) ii3 111 a s..:::i :: 3 g; s:: = C"IO 3 i ::r c=; id!'! )> Q. Q. C/1 Q. < c=; C/1 cn!! C: > C n.. i :: :! 'Tl n J> nl :t Q. 'Tl 3!! 'Tl en g c en zw < Q. J> C: za C/1 :T.? n _o. ci3 ;:1: J>. C/1...,111 rs' co ::r :: n (I) < C/1 "U z (I) Q. ;:i: Q. iii". u r
4 Univ. Driver Nae: Which Departent: Vandal # Dept. Owned Yes or No Vehicle? Work Phone # Work Univ. Contact: (If Not Driver) Phone Nuber: If An Accident Involves Serious Injury or Extensive Property Daage, Contact (28) University of Idaho, Risk Manageent iediately. Supervisor's Signature: A. DESCRIPTION OF ACCIDENT D. OTHER VEHICLE G. Police & Coents Date: I I Tie: I Owner Nae: Nae of Officer: Place/Location: Which Police Describe what happened: Driver Phone Nuber Yr./Make Vehicle License Plate # Daaged Parts Insurance Co. Nae Insurance Co. Policy # Force? Report # What Citations were issued and to who? Who do you think was at fault? B. DIAGRAM ACCIDENT E. OTHER PROPERTY DAMAGE H. WITNESSES \J In n Owner: Describe Daage: Why? Nae: Telephone, Hoe Telephone, Work Nae: Telephone, Hoe IA I I B I IC I Telephone, Work A=University Vehicle, B, C=Other Vehicle(s) F. INJURED I. UNIVERSITY VEHICLE C. Speed of your vehicle before accident: Injured Nae: Vehicle Plate# Did either driver signal? I Age Make Model YR If so, Describe I VIN # Nature of I My Veh. I Other Veh. I Pedestrian I Est. Daages $ Condition Injury: Daaged Parts: Weather I I Road I Visibility Injured Nae: Where can vehicle be seen? Traffic controls note on diagra Age: Coents Nature of I My Veh. I Other Veh. I Pedestrian I If not drivable, ove to a secure location. Injury:
5
Date of loss: Time of loss: am/pm Loss Location:
AUTO NOTICE OF LOSS FORM Important: Insurable Auto losses must be reported on this form immediately. Please EMAIL completed form to: riskmanagement@kennesaw.edu AND bhunterb@kennesaw.edu Please provide
More informationJohns Hopkins University Hop Vans. Collision Report Form
Accidents Stay at the scene in a safe place to gather information. Contact JHU Parking IMMEDIATELY 410-516-7275 Contact JHU Security if near campus 410-516-4600 Contact the police (911) if: o There are
More informationAUTO ACCIDENT REPORT KIT
AUTO ACCIDENT REPORT KIT I. In Case of Accident A. Stop and investigate immediately B. Set out warning devices if available or set vehicle flashers C. Assist injured persons but do not move if it will
More informationAUTO ACCIDENT REPORT KIT
AUTO ACCIDENT REPORT KIT I. In Case of Accident A. Stop and investigate immediately B. Set out warning devices if available or set vehicle flashers C. Assist injured persons but do not move if it will
More informationPassenger Vehicle Investigation Kit Checklist
Passenger Vehicle Investigation Kit Checklist Employee Statement Form Other Driver Statement Form Vehicle Accident Form Vehicle Accident Guide Road Diagram Vehicle-Injured Party Form Witness Statement
More informationINCIDENT WITNESS STATEMENT Department of Environmental Health & Safety
STATE OF GEORGIA Liability Incident Report Form If property of others is damaged (or alleged) as a result of the State s operations, whether negligent or not, report the claim directly to Risk Management
More informationRCAB Office of Risk Management What to do in the Event of an Auto Accident
RCAB Office of Risk Management What to do in the Event of an Auto Accident Even a minor fender bender can be an emotional experience. The Office of Risk Management will provide you with assistance in navigating
More informationNEW YORK STATE BAR ASSOCIATION. LEGALEase. If You Have An Auto Accident
NEW YORK STATE BAR ASSOCIATION LEGALEase If You Have An Auto Accident If You Have An Auto Accident What should you do if you re involved in an automobile accident in New York? STOP! By law, you are required
More informationTHE MOTORIST S ACCIDENT GUIDE
THE MOTORIST S ACCIDENT GUIDE To be stored in the glove box of your car. Use immediately following an accident. AFTER AN ACCIDENT: STEP BY STEP GUIDE Familiarize yourself with this guide and keep it in
More informationApplying for a rental service licence
Applying for a rental service licence To operate a goods, passenger, vehicle recovery or rental service the law requires individuals or copanies to hold the appropriate transport service licence. This
More informationMOTOR VEHICLE ACCIDENT CLAIM FORM
MOTOR VEHICLE ACCIDENT CLAIM FORM Insurer: Policy No.: VAT Reg. No.: Insured Identity No.: Occupation: Phone No.: Vehicle Reg No.: Make: Tare: Gross Vehicle Mass: Kilometers: Date Purchased: Price Paid:
More informationDUCKS UNLIMITED, INC.
DUCKS UNLMTED, NC. nstructions for filing DUCKS UNLMTED, NC. For 990T - Exept Organization Business Return for the period ended June 30, 2012 ************************* Signature... The original return
More informationChristchurch BOAT, CARAVAN & MOTOR HOME SHOW. 8 th, 9 th, 10 th JULY 2016 HORNCASTLE ARENA
Christchurch BOAT, CARAVAN & MOTOR HOME SHOW 8 th, 9 th, 10 th JULY 016 HORNCAST ARENA WELC O M E TO THE Christchurch BO AT, CARAVAN & MOTOR HOME SHOW Dear Exhibitor, We would like to offer you the opportunity
More informationAdministrative Policies and Procedures Page 2
Administrative Policies and Procedures Page 2 2.5.3 MINIMUM DRIVING STANDARDS Authorization to drive a Commission-owned, leased, or personal vehicle for Commission business will be granted only when an
More informationToday s Date: / / Date of Birth: / / Social Security #: -- --
MVR AFFIDAVIT (This form does not replace an MVR) This affidavit must be used if: 1) you have a valid driver s license, but through no fault or negligence on your part, it is not possible to obtain an
More information1.8 Organisation details. Name
Claim form Please read our booklet Guide to making a Motor Insurers Bureau claim before you fill in this form. The booklet gives information about the MIB and how we deal with claims. l Please complete
More information1.8 Organisation details. Name
Claim form Please read our booklet Guide to making a Motor Insurers Bureau claim before you fill in this form. The booklet gives information about the MIB and how we deal with claims. l Please complete
More informationDriver s accident report kit:
3002-001_ed03E Driver s accident report kit: Trucking TM Essential information Steps to follow in the event of an accident Driver information 1. Remain at the scene. Turn on fourway flashers, set out flares
More informationAPPLICATION FOR PERSONAL INJURY PROTECTION BENEFITS THROUGH THE MICHIGAN ASSIGNED CLAIMS PLAN
Michigan Automobile Insurance Placement Facility PO Box 532318 Livonia, MI 48153-2318 Phone: 734-464-8111 Fax: 734 744-8552 www.michacp.org Please note, you referenced throughout this application is defined
More information14 Mill Park Court Newark, DE Office: Fax: Time:
FIRST REPORT OF INCIDENT PERSONAL INJURY WC PROJECT DATA PERSONAL DATA Date of Incident: Date of Report: Project Manager: 14 Mill Park Court Time: or PM AM Day of Week Time of Report: or PM Project No.:
More informationInstructions for filing Liatis Foundation Form 990T - Exempt Organization Business Return for the period ended December 31, 2010
nstructions for filing Liatis Foundation For 990T - Exept Organization Business Return for the period ended Deceber 1, 2010 ************************* Signature... The original return should be signed (using
More informationGENERAL GUIDELINES. Report all accidents regardless of the degree of injury or damage.
CIAW CLAIMS REPORTING KIT CIAW MEMBERS Your membership in the insurance program requires ALL accidents and losses CIAW provides full claims management services to its members through Clear Risk Solutions
More informationYOUR GUIDE TO CLAIMS REPORTING
YOUR GUIDE TO CLAIMS REPORTING...SEEING YOU THROUGH PHONE: 888.433.3553 FAX: 410.433.3440 TABLE OF CONTENTS 1 WELCOME 2 POLICY AND CLAIMS OVERVIEW 3 AUTOMOBILE CLAIMS 4 AUTOMOBILE CLAIMS FORM 5 PROPERTY
More informationH2P CAR INSURANCE MOTOR ACCIDENT CLAIM FORM
H2P CAR INSURANCE MOTOR ACCIDENT CLAIM FORM CLAIM NUMBER NAME OF CLAIMS OFFICER PHONE NUMBER IMPORTANT INFORMATION ABOUT MAKING A CLAIM 1. Please ensure PERSONAL INFORMATION is read before signing the
More informationProvide 24/7 Toll-Free Claim Reporting
Associated Industries Insurance Company Rochdale Insurance Company Technology Insurance Company AmTrust Insurance Company of Kansas Milwaukee Casualty Insurance Company Security National Insurance Company
More informationMotor Vehicle Insurance claim
Motor Vehicle Insurance claim The supply or acceptance of this form is not an admission of liability on the part of the insurer. Please complete ALL sections of this claim form, unless specifically arranged
More informationREPORT OF INCIDENT. Type of Accident (Check all that apply): Public (Property Damage or Personal) Incident
(757) 457-9312 or (888)892-0787 REPORT OF INCIDENT Date: Assigned Work Location: Type of Work: Administrative Professional Management Technical Maintenance Other Involved MANCON Employee s Name and ID#:
More informationWORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 657/15
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 657/15 BEFORE: R. Nairn: Vice-Chair HEARING: April 29, 2016 at Toronto Oral DATE OF DECISION: August 10, 2016 NEUTRAL CITATION: 2016 ONWSIAT
More informationDEPARTMENT OF MOTOR VEHICLE (DMV) AUTHORIZATION FORM
To the University of the Pacific: DEPARTMENT OF MOTOR VEHICLE (DMV) AUTHORIZATION FORM It is understood that my job position requires me to drive on University business. I understand that the insurance
More informationd t m m Standard Tort Claim. A New Law that Impacts Presenting a Standard Tort Claim Form
d t m m Please before completing and presenting your Standard Tort Claim. A New Law that Impacts Presenting a Standard Tort Claim Form requires citizens to present the Standard Tort Claim form with the
More informationInstructions for Completing Claim Form
UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF ICHIGAN SOUTHERN DIVISION In Re: AUTOOTIVE PARTS ANTITRUST LITIGATION Case No. 12-md-02311 Honorable arianne O. Battani In Re: WIRE HARNESS
More informationWHAT YOU SHOULD KNOW WHEN YOU HAVE BEEN INJURED IN A MOTOR VEHICLE ACCIDENT
WHAT YOU SHOULD KNOW WHEN YOU HAVE BEEN INJURED IN A MOTOR VEHICLE ACCIDENT This document provides current information about obtaining assistance to meet your needs through insurance benefits and other
More informationUnderstanding the Claims Handling Process
Understanding the Claims Handling Process About This Brochure This brochure was designed to answer frequently asked questions about the claim handling process. If you have other questions or would like
More informationAutomobile Accident Questionnaire
Automobile Accident Questionnaire Date of Accident: Time of Day: Please explain in detail: Name of driver in your vehicle: Name of driver in other vehicle: Type of vehicle you were driving: How many passengers
More informationApplying for a large passenger service licence
Applying for a large passenger service licence To operate a large passenger service the law requires individuals or copanies to hold the appropriate transport service licence. This pack includes: application
More informationUC Irvine Environmental Health & Safety TITLE: Driver Safety Program
SECTION: UC Irvine Environmental Health & Safety TITLE: Driver Safety Program INITIATOR: Dave Mori/Sandra Conrrad (revision) REVISION DATE 08/26/2016 1. Program Description 2. Scope 3. Definitions 4. Responsibilities
More informationVEHICLE ACCIDENT REPORT FORM
GENERAL ALLIANCE INSURANCE LIMITED Alliance House, Corner Sharpe Road & Independence Drive P.O. Box 1811, Blantyre, Malawi. Central Africa Tel: 01 822 100 / 111 Fax: 01 821 088 email: info@generalalliancemw.com
More informationAzerbaijan Retention Summary
The Tax of the Republic of Art 39.1 The Tax of the Republic of Art 71.4 Suary Taxpayers violation of the tax legislation 3 fro the date of the violation Taxpayers Accounting docuents 5 Not stated including
More informationTEXAS STATE TECHNICAL COLLEGE STATEWIDE OPERATING STANDARD
TEXAS STATE TECHNICAL COLLEGE STATEWIDE OPERATING STANDARD No. GA 1.6.6 Page 1 of 10 Effective Date: 06/24/16 DIVISION: SUBJECT: AUTHORITY: General Administration Driver Safety SORM Program Risk Management
More informationNew Auto Liability Accident Reporting Program
New Auto Liability Accident Reporting Program The Tennessee Division of Claims and Risk Management has implemented a new state reporting program. The State can apply a $1,000 penalty per incident for not
More informationPOLICY & PROCEDURE DOCUMENT NUMBER: DIVISION: Finance & Administration. TITLE: Policy for use of Vehicles Insured by the University
POLICY & PROCEDURE DOCUMENT NUMBER: 3.7011 DIVISION: Finance & Administration TITLE: Policy for use of Vehicles Insured by the University DATE: July 15, 2011 Authorized by: K. Ann Mead, VP for Finance
More information1.8 Organisation details. Name
Claim form Please read our booklet Guide to making a Motor Insurers Bureau claim before you fill in this form. The booklet gives information about the MIB and how we deal with claims. l Please complete
More informationVirginia Department of Education
Virginia Department of Education Module Ten Transparencies Driver Responsibilities: Making Informed Choices Topic 1 -- Insuring Vehicle Topic 2 -- Purchasing Vehicle Topic 3 -- Trip Planning Topic 4 Virginia
More informationDefendant only Claim notification form(form RTA2)
Defendant only Claim notification form(form RTA2) Low value personal injury claims in road traffic accidents( 1,000-10,000) A copy of this form has been sent to your insurer, the claimant s date of birth
More informationMotor Vehicle Claim Form
Motor Vehicle Claim Form We re sorry to hear you ve had an accident. Our aim is to settle your claim as quickly as possible. You can help us do this by ensuring the enclosed claim form is completed promptly
More informationINCIDENT REPORTING INSTRUCTIONS& EMERGENCY PROCEDURES
1712 Magnavox Way PO Box 2338 Fort Wayne, IN 46801-2338 Phone: (800)237-2917 Fax: Property & Casualty (312) 381-9079 Fax: Participant Accident (312) 381-9077 www.kandkinsurance.com CA #0334819 INCIDENT
More informationCollision Reporting, Investigation, and Analysis
In this procedure, a collision is defined as any occurrence involving a motor vehicle driven by an employee on company business which results in death, injury, or property damage, unless the vehicle is
More informationAccident and Incident Investigation Reporting
Page 1 of 6 Purpose: This policy establishes the procedures to be followed when a City of Mobile employee suffers a workplace injury, is involved in a vehicle accident, or is involved in any other incident
More informationVehicle Accident Prevention and Safety
Vehicle Accident Prevention and Safety Policy Type: Administrative Responsible Office: Office of Insurance and Risk Management, Safety and Risk Management, Division of Administration Initial Policy Approved:
More informationFacts for Consumers. {Point & Insurance Reduction Program} QUESTIONS AND ANSWERS ABOUT... The Course
Page 1 of 5 Facts for Consumers {Point & Insurance Reduction Program} The Point & Insurance Reduction Program (PIRP), approved by the Department of Motor Vehicles, is available through private companies
More informationMotor Accident Report Form
Completing the claim form It is always important to notify your Insurer of a claim as soon as possible after an accident has occurred. Please therefore complete this form and return it to us within 14
More informationCAR INSURANCE VISIT IBC.CA ALL ABOUT AUTO INSURANCE
CAR INSURANCE VISIT IBC.CA ALL ABOUT AUTO INSURANCE TABLE OF CONTENTS DO I REALLY NEED AUTO INSURANCE? 3 BUYING AUTO INSURANCE 4 Who is insured?...4 If you are borrowing a car...4 If you are lending a
More informationFinance 101 Risk Management in Travel
Finance 101 Risk Management in Travel California State University Channel Islands Katharine Hullinger, ARM Risk Management November 17, 2015 1 Executive Orders and Technical Letters Tech. Letter RM 2012-02
More informationFinance 101 Risk Management in Travel. California State University Channel Islands Katharine Hullinger, ARM Risk Management November 17, 2016
Finance 101 Risk Management in Travel California State University Channel Islands Katharine Hullinger, ARM Risk Management November 17, 2016 1 Executive Orders and Technical Letters Tech. Letter RM 2012-02
More informationMAINE COMMUNITY COLLEGE SYSTEM
MAINE COMMUNITY COLLEGE SYSTEM HEALTH AND SAFETY Section 800.1 SUBJECT: PURPOSE: MOTOR VEHICLE PROCEDURE To promote the safe the authorized operation of motor vehicles operated on behalf, or for the benefit,
More informationMotor Vehicle Claim Form
Tokio Marine & Nichido Fire Insurance Co., Ltd. ABN 80 000 438 291 Managing Agent in Australia: Tokio Marine Management (Australasia) Pty. Ltd. ABN 69 001 488 455 Level 31, 9 Castlereagh Street, Sydney
More informationDriving Policy Section 3.35
This policy defines the process by which an individual receives approval to operate a vehicle in connection with his/her university responsibilities. Biola University has numerous faculty, staff, and students
More informationBUILDING U.S. CREDIT & DRIVING HISTORY
BUILDING U.S. CREDIT & DRIVING HISTORY LEARN WHY BUILDING YOUR CREDIT AND DRIVING HISTORY IS IMPORTANT IN THE USA 1-516-496-1816 www.intlauto.com International AutoSource Credit doesn t travel. As an expatriate
More informationPERSONAL INJURY FULL NAME: HAVE YOU EVER USED OR BEEN KNOWN BY ANY OTHER NAME THAN THAT
DATE: INTAKE BY: SLIP & FALL AUTO ACCIDENT PERSONAL INJURY FULL NAME: IF MINOR PARENTS= NAMES: HAVE YOU EVER USED OR BEEN KNOWN BY ANY OTHER NAME THAN THAT SHOWN ABOVE? IF SO, PLEASE LIST EACH SUCH NAME,
More informationThird Party Statement Form
Third Party Statement Form Location #: Date of Incident: Name: Home Phone: Time of Incident: Address: Business Phone: USE THE BACK OF THIS FORM IF YOU NEED ADDITIONAL SPACE I attest that I am over the
More information4. Are you a business entity registered with the PA Department of State? YES tf NO, you must register (see checklist on how to register)
Secretary \ fepmi OF > Revised 12/1/13 Pennsylvania Public Utility Coission rrruuir 5 *! 400 North Street, Second Floor TbCHNIL At Harrisburg, PA 17120 (717) 772-7777 www.puc.da.aov ro Application for
More informationCITY OF MORGAN CITY APPLICATION FOR EMPLOYMENT
CITY OF MORGAN CITY APPLICATION FOR EMPLOYMENT POSITION APPLIED FOR: DATE: FIRST NAME MIDDLE NAME LAST NAME DATE OF BIRTH SOCIAL SECURITY NUMBER TELEPHONE NUMBER(S) STREET ADDRESS HOW LONG AT PRESENT ADDRESS
More informationObjective Students will demonstrate knowledge of important insurance facts, concepts, principles and terms.
OII LESSON PLAN INSURANCE BOWL GAME Overview This lesson will provide a competitive and fun method for students to learn important Ohio insurance facts, concepts, principles and terms. Can be formatted
More informationMOTOR TRADE CLAIM FORM
MOTOR TRADE CLAIM FORM Policyholder s Name Company Name Policy No. Cover Applicable Comprehensive Third Party Fire & Theft Third party only Broker/Agent (if applicable) IMPORTANT We wish to process your
More information*UPDATED FALL 2017** General Application of Travel Rule
*UPDATED FALL 2017** General Application of Travel Rule In compliance with state law and System Policy 13.04, Student Travel, the following provisions apply to any student who travels more than 25 miles
More informationDon t Let Your Fleet Fleece You! The elements of an effective fleet program
Don t Let Your Fleet Fleece You! The elements of an effective fleet program Who is on the Panel? Steve Heckle Director, Risk Management LKQ Corporation James O Dell, CPCU Senior Vice President Willis Why
More informationThe Nature Conservancy Auto Safety Program (Revised 12/1/14)
The Nature Conservancy Auto Safety Program (Revised 12/1/14) Table of Contents I. Auto Safety Operating Procedures II. III. IV. Organization and Responsibilities Vehicle Use Driver Selection V. Accident
More informationOMB No Exempt Organization Business Income Tax Return(and proxy tax under section 6033(e))
990-T OMB No. 1545-0687 Exept Organization Business ncoe Tax Return(and proxy tax under section 6033(e)) For Departent of the Treasury For calendar year 2010 or other tax year beginning, 2010, and À¾µ
More informationDated 26 th February 2016 MANAGEMENT OF OCCUPATIONAL ROAD RISK RV2
Dated 26 th February 2016 MANAGEMENT OF OCCUPATIONAL ROAD RISK 07-024 RV2 Scope of the Instruction The contents of this instruction apply to all at-work road journeys that expose employees and/or members
More informationFor calendar year 2011 or other tax year beginning ending 06/30, See separate instructions. Check box if name changed and see instructions.
For 990-T Departent of the Treasury nternal Revenue Service A Check box if address changed Exept Organization Business ncoe Tax Return (and proxy tax under section 6033(e)) For calendar year 2011 or other
More informationAppendix Table A1. MPC Stratified by Additional Variables
Appendix Table A1. MPC Stratified by Additional Variables This table presents estiates of the MPC out of liquidity for groups of consuers stratified by whether they have low, ediu, or high levels of credit
More informationMOTOR TRADE ROAD RISKS ACCIDENT REPORT FORM
Tradewise Insurance Services Ltd MOTOR TRADE ROAD RISKS ACCIDENT REPORT FORM 300 Southbury Road Enfield, Middlesex EN1 1TS Tel: 0344 620 1234 Claims Department Fax: 020 8350 2350 Driving entitlement consent
More informationCheck that the vehicle is in a roadworthy condition and has a valid MOT certificate and Tax disc
Driver Policy 1. Drivers Legal Requirements 1.1. Oxford Hydrotechnics is a responsible employer and takes its duties seriously. Therefore this policy document, which clarifies your responsibility as a
More informationWorker s Compensation Investigation Kit Checklist
Worker s Compensation Investigation Kit Checklist Claim Handling Instructions Workers Compensation Instructions Employee Statement WC Accident Investigation Guide WC Activity-Communication Log Accident
More informationThe Driver Safety Rating
The Driver Safety Rating Driver Safety Rating: Better value for safe drivers Our mission at Manitoba Public Insurance is to reduce risk on the road. One of the ways we encourage safe driving is through
More informationPOLICY FOR BILLING YOUR INSURANCE CARRIER
POLICY FOR BILLING YOUR INSURANCE CARRIER 1.) We will need a copy of the front and back of your insurance card. 2.) You may have a deductible. If you have not met your deductible, we will bill you our
More informationFor calendar year 2015 or other tax year beginning 01/01, 2015, and ending 12/31,
Exept Organization Business ncoe Tax Return OMB No. 1545-0687 For 990-T (and proxy tax under section 6033(e)) Departent of the Treasury nternal Revenue Service Open A Check box if address changed For calendar
More informationHow to Handle a Car Accident
How to Handle a Car Accident Heselmeyer Zinda, PLLC Attorneys at Law Heselmeyer Zinda, PLLC Copyright 2010 All Rights Reserved Contact Information: Principal Office 108 E. Bagdad, Ste. 300 Round Rock,
More informationDAWES MOTOR INSURANCE MOTOR VEHICLE CLAIM FORM IMPORTANT NOTICES
DAWES MOTOR INSURANCE MOTOR VEHICLE CLAIM FORM PO Box 2717 Taren Point NSW 2229 Telephone: 1300 188 299 Facsimile: +61 2 9307 6699 Email: claims@dawes.com.au www.dawes.com.au Before completing this claim
More informationDefensive Driver Program
Defensive Driver Program Last Updated: 4/2017 ADF Last Approved: 4/2017 ALT 1.0 POLICY It is the policy of California State University, Stanislaus and Safety & Risk Management to establish rules and regulations
More informationCLAIMS KIT. Package Insurance
InCONTROL 2017 2017 18 CLAIMS KIT Package Insurance If you have any questions about Gallagher s InCONTROL Program, your coverage or if there s anything we can assist you with, please let us know. bsd.mcdlossprevention@ajg.com
More informationswift Accident MANAGEMENT SOLUTIONS
swift Accident MANAGEMENT SOLUTIONS A vehicle accident What do you do? When you are involved in a road accident, the world suddenly becomes an unfamiliar place. Your mind starts racing: What happened?,
More informationNotice of Incident and Claim
Important information about this form This form must be used by a person who proposes to commence court proceedings in relation to an incident arising out of the condition of EastLink. If you are considering
More informationClaim Form GROUP PTY LTD. RSM GROUP Pty Ltd - Wholesale Broking
GROUP PTY LTD Claim Form RSM GROUP Pty Ltd - Wholesale Broking ABN 40 006 361 226 AFS Licence No. 239631 380-382 Canterbury Road, Surrey Hills Vic 3127 Private Bag 4000 Surrey Hills Vic 3127 T: (03) 9276
More informationIs this application to: Apply for new automobile insurance
SM6-1: Insurance Application Is this application to: Apply for new automobile insurance Update existing application Applicant s Contact Information Lessor s Contact Information (if applicable) Policy Period
More informationTransportation Safety Policy
Transportation Safety Policy Throughout the Archdiocese of New Orleans, we take pride in the services provided to our community. The church is involved in transporting millions of people as they work to
More informationXX 11am. Police report for Paul Insured case received.
INSURCO File Notes: Julian Claimant 1. 7-2-XX 4pm. Call from Paul Insured. Paul Insured reported that he d been involved in a MVA that was his fault. He hit another vehicle as he was pulling out of a parking
More informationCobb County Safety Review Board Policy
Cobb County Safety Review Board Policy PURPOSE The purpose of the Safety Review Boards is to be proactive in promoting safety awareness with regards to the public, County employees and County property.
More informationCITY COUNCIL AGENDA MEMORANDUM
City and County of Broofield, Colorado CITY COUNCIL AGENDA MEMORANDUM To: Fro: Prepared by: Mayor and City Council Charles Ozaki, City and County Manager Tai Yellico, Deputy City and County Attorney Meeting
More informationIntroduction to Risk, Return and the Opportunity Cost of Capital
Introduction to Risk, Return and the Opportunity Cost of Capital Alexander Krüger, 008-09-30 Definitions and Forulas Investent risk There are three basic questions arising when we start thinking about
More informationPizza Program Guidelines and Driver Agreement
Pizza Program Guidelines and Driver Agreement 1. Must be over 18 years of age and have had a valid driver s license for (2) two years. 2. Must have Personal Auto Insurance in force and have proof of that
More informationPackage Insurance Claims Kit
2018-2019 Claims Kit Package Insurance If you have any questions about Gallagher s InCONTROL Program, your coverage, or if there s anything we can assist you with, please let us know. bsd.mcdlossprevention@ajg.com
More informationTaxicab or Commercial Transportation Vehicle Business Owner License
Submit Application to: City of Caldwell ATT: City Clerk 411 Blaine Street Caldwell, ID 83605 Phone: (208) 455-4656 Fax: (208) 455-3003 Taxicab or Commercial Transportation Vehicle Business Owner License
More informationInsurance that s with you... mile after mile! PROMPT CLAIMS REPORTING A KEY TO LOWER LOSS COSTS
Insurance that s with you... mile after mile! PROMPT CLAIMS REPORTING A KEY TO LOWER LOSS COSTS When CLAIMS are REPORTED LATE, you lose the advantage of having a great claims team at your disposal. Late
More informationDRIVER TRAINING SCHOOLS TRANSPORTATION APPLICATION
DRIVER TRAINING SCHOOLS TRANSPORTATION APPLICATION Colony Insurance Company Colony Specialty Insurance Company Argonaut Insurance Company Argonaut Midwest Insurance Company Section I General Information
More informationLOUISIANA DEPARTMENT OF INSURANCE. Consumer s Guide to. Auto. Auto Insurance. James J. Donelon, Commissioner of Insurance
LOUISIANA DEPARTMENT OF INSURANCE Consumer s Guide to Auto Auto Insurance Insurance James J. Donelon, Commissioner of Insurance A message from Commissioner of Insurance Jim Donelon Some of us spend up
More informationYour Guide to Driving Abroad
Your Guide to Driving Abroad In the event of an incident please call us immediately so we can help. 0333 234 0012 or 0333 234 6003 1 Your Guide to Driving Abroad What to do and know before you travel outside
More information1. Do you make advanced preparations for hurricane season or severe weather? FL GA IL IA MI MN NE ND TN WI Base (n=)
Background & Methodology Conducted approximately 400 surveys per state o Fielding took place April 12, 2016 April 28, 2016 o Utilized a proprietary online research panel o State totals are weighted by
More informationFleet Management and Motor Vehicle Use Policy
Revisions Approved by President s Cabinet 3/22/16 Approved by President s Cabinet 8/26/14 Fleet Management and Motor Vehicle Use Policy The office of the Vice President for Business Affairs has established
More informationMotor Vehicle Claim Form
Motor Vehicle Claim Form Claim Number 1. Insured Name of Insured Occupation Contact Person Telephone No. Home No. Business No. Mobile Email Broker/Agent Name Telephone No. Policy No. Excess $ Inception
More information