Auto and leisure vehicle insurance claim

Complete the form below for a quick and efficient settlement of your claim. We will contact you within 24 hours to finalize the opening of your file.

If you need immediate assistance, call  1 866 727-3011

Identification and contact information

Who are you?

Who is the policyholder?

The person whose name appears on Page 1 of the insurance contract.
Where can I find the policy number?

The policy number is indicated in the upper right-hand corner of your insurance contract and on the auto insurance certificate.

Would you like an acknowledgement of receipt sent to the policyholder?

If so, provide the policyholder’s email address.

Who should we contact to follow up on this claim?

Vehicle and drivers involved

Which vehicle was involved in the incident?

Was someone driving the vehicle at the time of the incident?

Description of incident

When did the incident occur?

What happened?

Describe the location where the incident took place (opt.)


Provide the information you have: Address, intersection, city, name of public place, etc

Explain what occurred.

To help you, here are some examples of information you can provide.

  • Signalling involved: Traffic light, stop, speed limit, construction work, etc.
  • What were you doing at the time of the incident? Parked, stopped at a red light, driving normally, changing lanes or turning.
  • Movements from other vehicle, person or object involved in the incident.

Was anyone injured?

Vehicle damage

Can the vehicle be driven safely?

If a temporary repair would enable you to drive your vehicle safely, answer “Yes”.

Detail the damage to your vehicle caused by the incident.

To help you, here is a sample answer:

« Both of the driver's side doors and the front of the vehicle are pushed in. The front bumper is damaged. The front right tire is flat. »

Additional documents

If you have photos of the incident, a police report, a Joint Accident Report or any other relevant document to send us, please attach them below. (Opt.)

Files in JPG, PNG and PDF are supported. Maximum of 5 MB per file and a total maximum of 20 MB
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