Reporting New Losses

Reporting New Losses – Key Information Needed

A loss should be reported ASAP to our Claims Intake Unit via fax, e-mail or by phone. Timely reporting of accidents is necessary to protect your interests and to preserve key information needed by your claims adjuster to conduct a good investigation.

When reporting a new loss, please complete the appropriate 1st Report of Loss form.

California Only:

All other states except California:

It is important to include as much of the following information as you can provide:

Date of Loss
Insured Policy Number
Insured Name as it appears on the policy
Insured Contact Name, phone number, and fax number.
Exact location of the accident (route, highway, street, city & state)
A brief description of the accident
Were the police notified? If yes, what department responded, officer’s name, phone number and most important an incident/report number.
Year, make, model, & VIN # (last 6 digits OK) of the Insured Vehicle (if tractor-trailer, include same for trailer.
Insured Owner’s Name, Address, & Phone #
Insured Driver’s Name, Address, Phone #, Date of Birth, Driver’s License # & State
Claimant’s Name, phone #, & address
Claimant vehicle’s year & make
Claimant’s Insurance company name & Policy #
Were there any injuries? If so, who?
Were there any witnesses? If so, who?

Any questions regarding new claims should be addressed to:
Claims Intake Unit @ 1-877-717-5442

If you are reporting a claim, please click on one of the links below and save the Loss Report Form on your computer.

If you are using the MS Word^® format document, you can enter the required information and email the form to 1stReport@lincolngeneral.com.

Otherwise, you can FAX the form to us at 717-751-0144.

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