ACCIDENT / INCIDENT REPORT
Greetings. We take accountability seriously. If you desire to make a claim, please read the disclaimer at the bottom of the page. Then complete the form below including as many details as possible. This allows us to address the information with precision and speed. Thank you.
Notice to Claimant(s):
1. This form is to report information to the Company solely. No liability and/or negligence is determined until an investigation is completed by the Company's management team. By submitting this form you acknowledge to have read, understand and agree to all it's contents.
2. Company team members are not authorized to admit or deny the validity of any claim. They are only permitted to introduce this form to the Claimant(s), assist them in filling it out and/or may complete themselves.
3. The Company is adequately insured against claims. IT'S A CRIME TO PRESENT FALSE INFORMATION AND/OR INITIATE A FRAUDULENT CLAIM.
4. If Company is found negligent, we sincerely regret any inconvenience you may have experienced as a result of our service.
Notice to Team Member(s):
All accidents, incidents and/or claims are to be reported to the Company phone as soon as possible.