The RoamRight mark is used by Arch Insurance Company and owned by its affiliate, Arch Capital Group (U.S.). All insurance products offered and underwritten by Arch Insurance Company.
Rental Car Collision Claim Form
Instructions (click to expand)
Do not use a public computer (e.g. internet cafe, public library) to complete this form
Complete the form with as much information as possible. Required fields are marked with an asterisk (ex: ). Some fields may be required based on your response to other questions.
On most modern web browsers, the data you enter will be periodically saved. If you need more time to complete this form, you can return to this computer and web browser later to complete the form. You must return to this computer and web browser to resume your claim form in progress - a different computer or different browser will not have your saved responses.
Clearing your browser cache may clear your saved claim form data
After completing the form, you will have an opportunity to upload documentation (ex: receipts) to support your claim.
Please complete and sign the Renters Collision Insurance Claim Form in full and return it with the documentation noted below
For all claims, submit:
Copies of your travel documents confirming your travel dates and itinerary;
Copy of your initial and final rental agreements;
Repair estimate or itemized bill for repair of the damage;
Proof of payment of the claimed repair expenses – copies of both sides of checks, copies of credit card statements or receipts for cash payments;
Two (2) photographs of the damaged vehicle, if available;
A copy of the report filed with the local police department;
A copy of the damage report submitted to your rental company;
A copy of your drivers license;
A copy of any payments or settlements made by any responsible party or under any other valid or collectable insurance coverage.