Claims
How It Works
We are committed to delivering the best service as your broker to ensure all claims are opened promptly. Please complete the form below and follow the instructions to upload your documents, allowing our claims department to review your request and proceed with opening your claim with carrier.
2. Fill Out the Form
Fill out the required fields in the PDF form.
3. Upload Your PDF
Upload and send us your PDF form below
Upload Your PDF
Fill out the form & upload your auto loss notice PDF form
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).
Date & Time Of The Incident
Full Description Of The Incident
Name Of The Driver
Name Of The Owner
All Vehicle Information In The Proper Section
Policy Number
Owner Information & Contact Number
Date The Form On The Top Right Corner
Location Of Loss
Police Report Number (If Applicable)
It's essential to understand that when you reach out to L.A. West Insurance Services regarding any claim, we are an insurance agency, not the insurance company. While we are dedicated to assisting our customers, our role in the claims process is limited. Once you submit your form, it will be sent to your insurance company, and you will then receive the contact information for the adjuster along with your claim number. After this step, please remember that any questions or concerns regarding the claim should be directed the adjuster or specialist. Additionally, all third-party requests (individuals other than our insured) must first discuss and obtain agreement from the insured before any claim processing can occur.
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Claims Direct Number
(323) 287-3484
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