Accident Report Forms Formularios de informe de accidentes

Direct Auto Insured Accident Report Form Formulario de Informe de Accidente del Asegurado English Espańol

Claimant Accident Report Form English

Please answer ALL questions on both pages and fax back to 312-568-4577 or email: claims@mydirectauto.com. If you have it, be sure to put the claim number in the email subject line or on the cover page of the fax, if you have it.

After an accident, check for medical emergencies and call 911. Please collect the following information: Después de un accidente, verifique si hay emergencias médicas y llame al 911. Recopile la siguiente información:

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