Report a Claim - Worley Schilling & Randall Insurance (WSR)

AUTO ACCIDENT

Important: All claims with the exception of customers with Auto Owners need to be reported directly to the insurance company.

Click here for a list of company claim phone numbers. If you are with Auto Owners, please call us at 770.428.1565 during business hours.

Please call 800.568.6074 if after business hours. If you have any difficulty filing your claim, please call our office and we will assist you.

IF YOU WOULD LIKE TO REPORT YOUR CLAIM ONLINE TO WSR, PLEASE FOLLOW THE PROCEDURE BELOW:

Step 1

Complete the claim form below after reading the following information.

Step 2

Always call the police, even if on private property.

Get the case number from the officer in order to obtain a copy of the Police Report.

Step 3

Do not admit fault or offer any payment for injuries or damages.

Step 4

Obtain the other party’s name, phone number, their insurance company, and policy number.

If the other party is clearly at fault, call their insurance company to see if the claim has been reported and to verify coverage.

Secure names, phone numbers, and addresses of all other parties involved in the accident, including witnesses.

Step 5

Drivable vehicle: Get a repair estimate from a body shop.

Non-drivable vehicle: Tow your vehicle to a body shop.

Get a repair estimate, but do not begin repairs until your insurance company has given approval.

Step 6

Immediately notify Worley, Schilling & Randall if you are served with a summons or suit papers.

These legal documents require a timely response.

1
Complete the claim form below after reading the following information.
2
Always call the police,
even if on
private property.
Get the case number from the officer in order to obtain a copy of the Police Report.
3
Do not admit
fault or offer any payment for injuries
or damages.
4
Obtain the other party’s name, phone number, their insurance company, and policy number.
If the other party is clearly at fault, call their insurance company to see if the claim has
been reported and to verify coverage.
Secure names, phone numbers, and addresses of all other parties involved in the accident, including witnesses.
5
Drivable vehicle:
Get a repair estimate from a body shop.
Non-drivable vehicle: Tow your vehicle to a body shop.
Get a repair estimate, but do not begin
repairs until your insurance company has given approval.
6
Immediately notify Worley, Schilling & Randall if you are served with a summons or suit papers.
These legal documents require a timely response.

NOTICE:

ONLY WORLEY, SCHILLING & RANDALL CUSTOMERS MAY REPORT A CLAIM HERE. CLAIMS NEED TO BE REPORTED IN A TIMELY MANNER OR YOUR INSURANCE COVERAGE MAY BE JEOPARDIZED.

PLEASE FILL OUT THE FORM BELOW TO THE BEST OF YOUR KNOWLEDGE TO REPORT YOUR PROPERTY CLAIM.

INSURED'S PERSONAL INFORMATIONRequired*

Which contact number do you prefer?*

INSURED'S CURRENT INSURANCE INFORMATION (OPTIONAL)

ACCIDENT INFORMATIONRequired*

Time of accident*

Were the police contacted?

Yes

Were any tickets issued?

Yes

How many witnesses were present? (Include witnessing passengers)

INSURED'S VEHICLE INFORMATION

INFORMATION OF DRIVER OF VEHICLE.

Check box if Driver of the vehicle was different than insured

OTHER PARTY INFORMATION

CURRENT INSURANCE INFORMATION OF OTHER PARTIES (OPTIONAL)

I believe the other party to be uninsured or underinsured*

INFORMATION OF OTHER PARTIES INVOLVED:

Check box if Driver of the vehicle is different from the owner

PROPERTY DAMAGE

How many vehicles were involved in the accident?

INJURIES

Number of injuries resulting from this accident?

IF YOU HAVE NOT HEARD BACK FROM US OR THE INSURANCE COMPANY WITHIN TWO BUSINESS DAYS, PLEASE CALL WORLEY, SCHILLING & RANDALL AT (770) 428-1565. THANK YOU.