Serving Clients in Chicago and Globally for over 50 years
Submitting a Claim

Online Report A Claim Form

This document will be forwarded to the IIA claim department. Our claims department staff will follow up with you on the next business day. It is our intent to assist you in any way that we can in the settlement of your claim.

Your Name:
Company: (if a company car)
Daytime Telephone:
Kind of Loss:  Automobile
 Wind, Hail Damage
 Workers Compensation
 Other (please describe below)
Date of Loss or Accident:
Accident Location:
Were There Any Injuries:  Yes
Brief Description of Loss, Accident or Damage: