Submit a Claim - Welcome to Trinity Underwriters, LLC

Who is Filing this Claim?

Agent

Insured

Other

Agency Information

Agent's Name: *

Agency Email: *

Agency: *

Policy Holder Information

Policy Number:

Insured's Name: *

Insured's Primary Phone: *

Insured's Email Address: *

Insured's Mailing Address (include City, State, Zip): *

Contact Information for Person Filing

Contact Name for Person Filing Claim: (if different from Insured)

Contact Phone Number for Person Filing Claim: (If different from Insured)

Claim Information

Date of Loss (mm/dd/yyyy): *

Time of Loss (hh:mm):

Driver's Full Name: *

Truck Year: *

Truck Make: *

Truck VIN#: *

Trailer Year: *

Trailer Make: *

Trailer VIN#: *

Does the claim involve more than one Truck and Trailer?*

Yes

Location where vehicle can be inspected *

Accident Location (Street, Hwy, Address, City, State): *

Towing Company:

Description of Accident: (Cause, Citation Issued? Rain or Snow?) *

Documents Upload

Below is a list of required information that we need to process the claim:

Date of Loss
Location of accident (City, State)
Full Name of Driver involved in claim
Contact Information for Insured (Name, Phone Number, & Email Address)
Copies of Registration (for insured vehicles involved, including tractor and/or trailer)
Driver’s statement - Must include drivers full name and a description of events
Location where vehicle can be inspected
Bill of Lading (Cargo claim only)

If available, please provide the following additional documents:

Pictures of damage (if available)
Police Report (if available, when available)
Vehicle estimate (if available)
Copy of Towing bill (if vehicle towed or load transferred or recovered)
Trailer Interchange Agreement (if applicable)

Maximum File Size allowed for all files combined is 20MB
If combined total of all files is over 20MB, please email all documents to [email protected].
We will not receive email notification of claims reported online if the combined total size of all files is over 20MB.
Document types accepted are:
.pdf, .jpg, .png, .doc, .xls, .docx, .xlsx, .gif

Submit Documentation

File a Claim

Below is a list of required information that we need to process the claim:

If available, please provide the following additional documents:

Agents

Cancellation / Refund / Return Policy

Products

Address

Welcome to Trinity Underwriters, LLC