Report An Accident - DSP Insurance Services

Accident Reporting

In the event of an accident, please do the following:
- Move your vehicle to a safe area out of the path of traffic if possible.
- Assess the members of your car for injuries and call for assistance if needed.
- While being cooperative, do not apologize or admit fault.
- Obtain the other vehicle(s) driver(s) information (name, address and phone number).
- Obtain a description of the other vehicle(s) (year, make & model). Take a take a photo of all sides of the vehicle(s) if possible.
- Exchange insurance information with the other driver(s). Take a photo of their insurance card if possible.
- Make note of the location of where the accident happened (street address or intersection).
- If safe, take photos of the accident location.
- Report the accident to your insurance carrier as soon as possible
Feel free to use the form below to submit accident information to DSP. If you would prefer, you can access this form from a computer at: www.dspins.com/accident report. Accident information can also be submitted by phone (847.934.6100) or email (info@dspins.com).
Date of Accident
MM slash DD slash YYYY
Time of Accident

: Hours

Minutes
Place of Accident
Police Report Number
Describe briefly what happened
Upload images of accident
Drop files here or

Accepted file types: jpg, gif, png, jpeg, heic, Max. file size: 300 MB.
Include photos of all sides of all vehicles, close-ups of damaged areas, skid marks, traffic signals, debris, vehicle interiors (including seat belts and air bags), and all drivers and passengers.
YOUR VEHICLE
Name of the Insured
Year / Make / Model of Your Vehicle
Serial Number of Your Vehicle
Driver's name, address, phone number and email
Damage to your vehicle
OTHER VEHICLE
Owner's name, address, phone number and email
Year / Make / Model of Other Vehicle
Damage to other vehicle
Driver's name, address, phone # and email (if different than owner)
Other driver's insurance company and policy number
PERSONS INJURED
Were there any known injuries? If so, to whom and in which vehicle?
WITNESSES
List name, address, phone / email of any witnesses
ADDITIONAL NOTES OR DETAILS
Any additional notes or details?
Would you like a copy of this report emailed to you?*
- Yes
- No
Email Address*
This field is for validation purposes and should be left unchanged.
This field is for validation purposes and should be left unchanged.

The next step is easy, call 847-934-6100 or for Event Cancellation Insurance Application assistance or General Liability / Professional Liability Application assistance call 630-890-2605 Or, Contact Us

Accident Reporting

YOUR VEHICLE

OTHER VEHICLE

PERSONS INJURED

WITNESSES

ADDITIONAL NOTES OR DETAILS

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