Start the Claims Process - Bridger Insurance

VALIDATING...

Basic Information

Policy Number * TEST
Who are You? *
Insured First name *
Insured Last name *
Date of Loss *

ATTENTION:

If your vehicle is not drivable, you must take all reasonable measures to have your vehicle moved to a safe location. Bridger will NOT be responsible for towing and/or storage charges that are unreasonable, even if we confirm coverage. It is your legal duty to mitigate any expenses related to your loss.

Si su vehículo no se puede conducir, debe tomar todas las medidas razonables para mover su vehículo a un lugar seguro. Bridger NO será responsable de los cargos de remolque y/o almacenamiento que no sean razonables, incluso si confirmamos la cobertura. Es su deber legal mitigar cualquier gasto relacionado con su pérdida.

Bridger Driver Information

First name *
Last name *
Address *
City *
State *

Zip Code *
Primary Phone *
Alternate Phone
Email
Drivers License Number,
Or click License Unknown
Driver License State *

Bridger Insured Vehicle Information

Select from the list above,
or click if Vehicle Is Not Listed

Do you have information about any other party involved? *

Select 'No' here if there is no other party or if you do not have information on the other party

Other Party Information

First name *
Last name *
Address *
City *
State *

Zip Code *
Primary Phone *
Alternate Phone
Email
Driver License * (License Unknown )
Driver License State *

Other Party Vehicle Information

VIN * (VIN Unknown )
Year
Make *
Model *
Color *
Plate
State

Loss Information

Time of Loss *
Street/Highway *
City
State *

Please briefly describe what happened: *

Additional Information

Please enter any other information related to this claim such as names, addresses and phone numbers of other parties involved in this loss, witnesses, insurance carriers or attorneys.

First Name
Last Name
Phone Number

Any Additional Information:

You are about to submit your claim. By doing so, you agree that the information you provided is accurate to the best of your knowledge.