top of page
header_banner (1).jpg

Claims

How It Works

We focus on providing the best service we can as a broker to get all claims open in a timely manner. Please fill out the form below and follow instructions to upload so our claims department may pick up on your request and move forward with opening your claim request to the carrier.

download-icon.png

1. Download the PDF

form_icon.png

2. Fill Out the Form

Fill out the required fields in the PDF form.

upload_icon.png

3. Upload Your PDF

Upload and send us your PDF form below

Download the PDF

To file a claim, please download the Accord Loss Notice PDF Form

Upload Your PDF

Fill out the form & upload your auto loss notice PDF form

Upload Form
Thank you. One of our agents will reach out to you soon!

Form Requirements

If you would like to file a claim, please download the Accord Loss Notice Form, it is important that it must be completely filled out (Page 1 Only).

check_mark.png

Date & Time Of The Incident

check_mark.png

Full Description Of The Incident

check_mark.png

Name Of The Driver

check_mark.png

Name Of The Owner

check_mark.png

All Vehicle Information In The Proper Section

check_mark.png

Policy Number

check_mark.png

Owner Information & Contact Number

check_mark.png

Date The Form On The Top Right Corner

check_mark.png

Location Of Loss

check_mark.png

Police Report Number (If Applicable)

benefits.png

It is very important to note that when you are contacting L.A. West Insurance Services for any claim matter, please keep in mind that we are not the insurance company, we are the insurance agency. As much as we love to service all our of customers, our hand can only reach so far as far as the claims process goes. Your filled out form will be forwarded out to the insurance company you are insured with, thereafter you will receive the claims adjusters contact information & the claim number. Once this step is complete, it is important to know that any concerns or questions that have to do with the claim must be dealt with by contacting the adjuster/specialist.

Please note that all third party requests (anyone other than our insured) must first discuss & agree on terms with the insured of the incident before any claim can be processed.

bg-maps-dots (1).jpg
phone-call (9).png

Claims Direct Number

 

(323) 287-3484

bottom of page