Services - Automobile Incident Report
ATBE Automobile Fund Incident Report
Instructions: An authorized representative of an ATBE Covered Party is to use this form to report to ATBE, within 7 days of the Incident, an Incident involving a Member board owned or Covered Party operated Covered Automobile, as defined in the Coverage Agreement. Transmit with this form or immediately upon receipt, if after submission of this form, a copy of the official police accident report and all supporting documentation as instructed below.
Note that a Claim or Loss should be submitted separate from the Incident Report and pursuant to the Notice of AL Claim Procedure or Notice of APD Loss Procedure. (Do NOT submit a Claim via this webform.)
(NOT for use by potential claimants)
Complete the form below OR
download and print the form and return it and all documents to ATBE: