Use this option to report a claim directly to Maran Corporate Risk Associates.

Policy Holder Information

Location of Incident

Nature of Incident

Emergency Services

Involved Parties. Identify all parties involved including names, addresses and phone.

Policy Holders Auto Involved

Current Location of the Auto

Other Partys Auto Involved

Damage to the Auto

Identify all Injured Parties/Nature of Injury/Medical Treatment Provided

Witnesses

Comments