Accident Claim – Finney Insurance Agency

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Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly

Personal Information

First Name

Last Name

Street

City

State

ZIP / Postal Code

Primary Phone Number

Alternate Phone Number

E-Mail Address

Policy Number

Incident Overview

What date did the incident take place?

What vehicle was involved?

Was another vehicle involved?

How severe was the damage?

Is the vehicle drivable?

Where is the vehicle currently located?

What is the phone number for the location?

Incident Location

Street Address

City, State. ZIP Code

Incident Description

Describe the incident.

Important Notice

Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.