This is a form notice to the insurance carrier of a person involved in a motor vehicle accident.
Delaware Notice of Insurance Claim on the Policy of Another due to Motor Vehicle Accident serves as an official document used to notify an insurance company about a claim made by an individual (claimant) against the policyholder due to a motor vehicle accident in Delaware. This notice aims to initiate the claims process and inform the insurance company about the incident, allowing them to assess liability, investigate the accident, and determine the appropriate compensation for the claimant. In Delaware, there are mainly two types of Notice of Insurance Claim on the Policy of Another due to Motor Vehicle Accident: 1. Personal Injury Claim: This notice is relevant when an individual sustains bodily harm, ranging from minor to severe injuries, as a result of a motor vehicle accident caused by the policyholder. The notice outlines specific details of the accident, including the date, time, location, and a description of the injuries sustained by the claimant. It is important to provide accurate medical records and any supporting documentation to support the claimant's injuries, expenses, and future medical treatment if necessary. 2. Property Damage Claim: This notice is applicable when the claimant's property, such as their vehicle, personal belongings, or any other property damaged in a motor vehicle accident caused by the policyholder. The notice must contain details about the accident, including the date, time, location, and a comprehensive description of the property damage incurred. Providing photographs, repair estimates, purchase receipts, or any other relevant documents can help substantiate the claimant's property damage claim. Required information to include in a Delaware Notice of Insurance Claim on the Policy of Another due to Motor Vehicle Accident: 1. Contact Information: Provide the full contact details of the claimant, including their name, address, phone number, and email address. 2. Insurance Information: Include the claimant's insurance information, including the policy number, insurance company name, and contact information, if applicable. 3. Accident Details: Clearly state the date, time, and location of the accident. Provide an accurate and detailed description of how the accident occurred, including any contributing factors or witnesses, if available. 4. Injuries/Property Damage Description: Specify the extent of injuries sustained or the property damage incurred by the claimant as a direct result of the accident caused by the policyholder. Attach any relevant supporting documents, such as medical records, photographs, repair estimates, or purchase receipts. 5. Police Report: If a police report was filed for the accident, include a copy or provide the necessary details, such as the report number and investigating officer's name. 6. Signature and Date: The Notice of Insurance Claim must be signed and dated by the claimant, indicating their acknowledgement and submission of the claim. By providing a comprehensive and accurate Delaware Notice of Insurance Claim on the Policy of Another due to Motor Vehicle Accident, claimants can ensure a smoother claims process and increase the chances of efficiently resolving their claim with the insurance company involved.