Get Vlct Pacif Auto Loss Notice. Report Auto/vehicle Loss

This guide provides a comprehensive overview on how to complete the VLCT PACIF Auto Loss Notice form to report an auto or vehicle loss. By following these steps, users can efficiently and accurately fill out the necessary information online.

Follow the steps to complete the auto loss notice form successfully

1. Click ‘Get Form’ button to download the form and open it in your preferred document editor.
2. Begin by entering the member name and address in the designated fields at the top of the form.
3. Provide the contact information for the employee involved in the accident, including their phone number.
4. Input the date, time, and location of the accident in the specified fields. Ensure the date is formatted as mm/dd/yyyy.
5. Indicate who responded to the accident scene by checking the appropriate boxes for police, fire, ambulance, or none, and include the incident number as necessary.
6. Fill out the vehicle, driver, and business use information section. This includes details such as vehicle year, make, model, driver name and address, serial number or VIN, license number, and date of birth of the driver.
7. Answer the questions regarding permission for vehicle use, business use, and the member's association with the driver by checking 'Yes' or 'No'.
8. Specify where the member vehicle can be inspected and describe the damage in detail, including the estimated damage cost.
9. For the other vehicle involved, fill out the necessary owner, driver, and insurance information, ensuring you include the same details as with the member's vehicle.
10. Follow up with injury information for any parties involved, including their names, phone numbers, date of birth, social security numbers, and descriptions of injuries.
11. Document any passengers or witnesses by including their names, addresses, and phone numbers, if applicable.
12. In the accident description section, provide a detailed account of what transpired during the incident.
13. Complete the form by entering the date of completion and your electronic signature.
14. Once all sections are filled, save the final version of the form, attach it to an email, and send it to newclaim@vlct.org.

Start filing your auto loss notice form online today!