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?

Provide your contact information

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?

Provide the contact information of the person to call.

Vehicle and drivers involved

Which vehicle was involved in the incident?

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

Who was driving?

Who was the last person to drive the vehicle prior to the incident?

Who is this other person? (opt.)

Description of incident

When did the incident occur?

What happened?

This collision involves...

Specify the extent of the damage caused by the fire.

The vehicle was burned...

Specify the type of theft.

Did you have personal property stolen from your vehicle?

The property in your car is generally covered by your home insurance.
Call us at 1 866 727-3011 to learn more. Our experts will be happy to help you.
We can still process your claim for the theft of your vehicle and the damage sustained.

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.)

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