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Located in Los Angeles servicing Los Angeles, Santa Clarita, Anaheim and surrounding areas

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Claims

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.

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2. Fill Out the Form

Fill out the required fields in the PDF form.

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3. Upload Your PDF

Upload and send us your PDF form below

Download the PDF

To file a claim, please download the Accord Loss Notice PDF Form

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)
Form Requirements

It's essential to understand that when you reach out to L.A. West Insurance Services, Inc. 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.

Claims Direct Number
(323) 287-3484

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