File A Claim

Steps to take after an auto accident:	Steps to take after homeowners loss:
1. Move the vehicle to a safe place 2. Call the police 3. Look for witnesses 4. Record the driver's information and other party insurance. 5. Determine the extent of damage and/or injuries 6. File an accident report with the police only 7. Contact your independent insurance agent	1. IMMEDIATELY report any crime to the police 2. IMMEDIATELY contact your insurance agent or Hallmark at 1-800-486-5616 3. Make temporary reasonable repairs to prevent further damage 4. Prepare a list of lost or damaged articles (Include receipts, photos and/or video) 5. If you need to relocate, keep your receipts

Reporter Information:

Current Date & Time:		Date of Accident:		Time of Accident:	AM PM
Reported By:		Your Name:		Your Phone:

Accident/Incident Information:

Incident Street Address:		Incident City:		Incident State:
Please describe in detail what happened:

Police Department:			Police Report #:
Police Officer Name:			Tickets Issued:
Glass Claim?:			Fatality?:

Insured Vehicle Information:

Vehicle Year:		Vehicle Make:		Vehicle Model:
Damage Location on Vehicle:
Vehicle Driveable?:		Vehicle Location:
Address and/or Phone for Vehicle Location:				Possible Total Loss?:
Insured Vehicle Driver:		Home Phone:
Cell Phone:		Work Phone:
Hallmark Policy Number:		Email:		Spouse's Work Phone:

Insured Vehicle Passengers:	None
Passenger Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:
Relation to Insured:

Passenger Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:
Relation to Insured:

Passenger Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:
Relation to Insured:

Other Party Vehicle #1 Information:	None
Vehicle Year:		Vehicle Make:		Vehicle Model:
Damage Location on Vehicle:
Vehicle Driveable?:		Vehicle Location:
Address and/or Phone for Vehicle Location:				Possible Total Loss?:
Other Vehicle Driver:				Home Phone:
		Cell Phone:		Work Phone:
Insurance Carrier:				Policy Number:

Other Party Vehicle #1 Passengers:	None
Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:

Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:

Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:
Additional Other Party #1 Information:

Other Party Vehicle #2 Information:	None
Vehicle Year:		Vehicle Make:		Vehicle Model:
Damage Location on Vehicle:
Vehicle Driveable?:		Vehicle Location:
Address and/or Phone for Vehicle Location:				Possible Total Loss?:
Other Vehicle Driver:				Home Phone:
		Cell Phone:		Work Phone:
Insurance Carrier:				Policy Number:

Other Party Vehicle #2 Passengers:	None
Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:

Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:

Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:
Additional Other Party #2 Information:

Other Party Vehicle #3 Information:	None
Vehicle Year:		Vehicle Make:		Vehicle Model:
Damage Location on Vehicle:
Vehicle Driveable?:		Vehicle Location:
Address and/or Phone for Vehicle Location:				Possible Total Loss?:
Other Vehicle Driver:				Home Phone:
		Cell Phone:		Work Phone:
Insurance Carrier:				Policy Number:

Other Party Vehicle #3 Passengers:	None
Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:

Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:

Name:			Home Phone:
	Cell Phone:		Work Phone:
Injured?:		Injury Description:
Additional Other Party #3 Information:

Consumer Note: Always consult your agent regarding mandatory and optional coverage.

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