Accident Management Reporting and Repair Guide (Please leave these instructions in your company vehicle) Any collision damage or comprehensive damage (vandalism, flood, miscellaneous damage, fire, theft, etc.), which occurs to your company vehicle, should be immediately reported to:

1–866–FLEET49 (1-866-353-3849) ARI Claims Technicians are standing by 24 hours a day, 7 days a week, 365 days a year to take your report and offer whatever assistance is necessary.

What To Do In The Event Of An Accident / Claim: POLICE To protect yourself and your company, it is vital the police are contacted and take a report of any incident. You should receive a case / report number from the police. The police department and case / report number should be given to the ARI Claims Technician. REPORTING CHECK LIST

□ Every incident should be reported directly to 1-866-FLEET49 (353-3849). An ARI Claims

Technician will take a complete report over the telephone. A Claim Report form follows this page. You may note the details of the accident on this form.

□ All injuries should be immediately reported to your company. □ Depending on your company’s policies and procedures, you may also need to report any

incident / injuries to your employer’s insurance company. ARI is only involved with the repairs to your company vehicle.

□ Other Vehicles & People Involved - Again, it is very important to protect yourself and your

company by gathering as much information as possible, including information about the other vehicle(s) and driver(s) involved in the incident. Please see the following Claim Report which can be used to help gather this information.

NOTE These steps are vital in protecting you and your company. The telephone and written reports will confirm your account of the incident and help to collect any damages owed by responsible party(ies).

How Does ARI Help? o o o

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TOWING: ARI can arrange towing on your behalf where necessary REPLACEMENT TRANSPORTATION: If your company permits, ARI can provide a rental vehicle on your behalf so that you are not left without transportation. REPAIR FACILITY: ARI will arrange repairs with one of our local repair facilities convenient to you. You will not be required to obtain multiple estimates. The shops in our repair network are pre-approved repair facilities who know to contact ARI with estimates. ARI will monitor the repairs and pay the shop directly on your behalf. You will be contacted when your vehicle is completed. SUBROGATION: If your company is enrolled in ARI’s subrogation program and you are not at fault for the accident, ARI will immediately initiate a claim against the responsible party(ies) on your behalf for damages to your company vehicle.

**** Our goal is to provide you with the best possible service. Please do not hesitate to contact us at any point during the repair process with any questions or concerns at 1-866-FLEET49 (1-866353-3849) ****

CLAIM REPORT CHECKSHEET Client No.

Vehicle No.

Claim No. Please use this claim form to assist you in collecting the information necessary to report your accident to ARI. Report your accident to ARI by calling 1-866-FLEET49 (353-3849). Your Vehicle Vehicle Assigned to:_______________________ Driver When Claim Occurred: ___________________ (If different from assigned drvr) Address: ________________________________ Address: ______________________________________ City, State, Zip: __________________________ City, State, Zip: ________________________________ Phone: _________________________________

Phone: ________________________________________

Email: __________________________________ Email: ________________________________________ Describe Damage: ________________________________________________________________________

Other Vehicle #1 Owner: _________________________________ Driver of Vehicle: ______________________________ (If different from Owner) Address: ________________________________ Address: _____________________________________ City, State, Zip: __________________________ City, State, Zip: _______________________________ Phone: __________________________________ Phone: _______________________________________ Email: __________________________________ Email: ________________________________________ Vehicle Year: ____________________________ Insurance Carrier: ______________________________ Vehicle Make: _______________________ ____

Insurance Agent: _______________________________

Vehicle Model: ___________________________ Policy #: _______________________________________ Vehicle VIN#: ____________________________ Agent’s Phone: _________________________________ Describe Damage: ________________________________________________________________________

Other Vehicle #2 Owner: _________________________________ Driver of Vehicle: _______________________________ (If different from Owner) Address: ________________________________ Address: ______________________________________ City, State, Zip: __________________________ City, State, Zip: _________________________________ Phone: __________________________________ Phone: ________________________________________ Email: __________________________________ Email: _________________________________________ Vehicle Year: ____________________________ Insurance Carrier: _______________________________ Vehicle Make: _______________________ ____

Insurance Agent: ________________________________

Vehicle Model: ___________________________ Policy #: ________________________________________ Vehicle VIN#: ____________________________ Agent’s Phone: __________________________________ Describe Damage: _________________________________________________________________________

Witnesses / Other Involved Parties Name: __________________________________ Name: _________________________________________ Address: ________________________________ Address: _______________________________________ City, State, Zip: __________________________ City, State, Zip: _________________________________ Phone: __________________________________ Phone: _________________________________________ Pedestrian

Passenger – Your Vehicle

Pedestrian

Passenger – Your Vehicle

Other

Passenger – Other Vehicle

Other

Passenger – Other Vehicle

Injuries Name: __________________________________ Name: _________________________________________ Address: ________________________________ Address: _______________________________________ City, State, Zip: __________________________ City, State, Zip: _________________________________ Phone: __________________________________ Phone: _________________________________________ Pedestrian

Passenger – Your Vehicle

Pedestrian

Passenger – Your Vehicle

Other

Passenger – Other Vehicle

Other

Passenger – Other Vehicle

Accident Scene Date of Accident: ____________

Time of Accident: _____________

AM

PM

Accident Location (Street Number): _________________________________________________________ City, State: ____________________________ Police contacted: Yes

No

Weather: ______________________________________

Station: _________________________

Phone: __________________

Officer’s Name: ___________________________ Report Number: _________________________________

DESCRIBE ACCIDENT IN DETAIL

____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ PLEASE COMPLETE THE FOLLOWING DIAGRAM SHOWING DIRECTIONS AND POSITIONS OF AUTOMOBILES OR PROPERTY INVOLVED. BE SURE TO CLEARLY INDICATE THE POINT OF IMPACT, LABEL ALL STREETS AND SHOW THE TRAFFIC CONTROL DEVICE FOR EACH STREET (i.e. LIGHTS, STOP SIGN, ETC.).

INSTRUCTIONS: (1) NUMBER EACH VEHICLE AND SHOW THE DIRECTION OF TRAVEL BY AN ARROW. SHOW YOUR VEHICLE AS VEHICLE #1 1 (2) USE A SOLID LINE TO SHOW THE PATH OF EACH VEHICLE BEFORE THE ACCIDENT. (3) USE A DOTTED LINE TO SHOW THE PATH OF EACH VEHICLE AFTER THE ACCIDENT.