Menu
damaged car

Commercial Auto Claim

Fill out the form below if you or your employees had a car crash. A Leavitt United claims member will get in touch with you within a day. Don’t worry if you don’t have all the information or some fields are not relevant. We have the experience to assist you.

Serious or fatal injuries

Follow the Emergency Claim Reporting Instructions on the claims center page.

Non-serious or non-fatal injuries

Rob Regur, CISR
Leavitt United Director of Risk & Claims Services
(559) 256-2540 | rob-regur@leavitt.com

Auto claim report form

alert icon

Coverage cannot be bound or altered online. Complete the form below to have a service representative contact you to finalize your request.