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. 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.
Complete the form below OR
download and print the form and return it and all documents to ATBE: