---
title: Auto Insurance Claim Form Template | Paperform
description: Professional auto insurance claim form template with accident details, damage photos, police report uploads, and witness statements. Streamline claims processing with mobile-friendly digital forms.
url: "https://paperform.co/templates/auto-insurance-claim-form"
type: static
generatedAt: "2026-03-28T00:43:06.025Z"
---

[← Back to free form templates](/templates/)    ![Auto Insurance Claim Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/auto-insurance-claim-form.png)
    [Preview](https://_preview.paperform.co/ai-template/auto-insurance-claim-form) [Use this template for free](/create?ai-template=auto-insurance-claim-form)    [Industry-Specific Forms](/templates/category/industry-specific/) [Business](/templates/industry/business/)[Insurance](/templates/industry/insurance/)[Customer Service & Support](/templates/industry/customer-service/) [Small Business Owner](/templates/role/small-business-owner/)[Office Manager](/templates/role/office-manager/)[Insurance Agent](/templates/role/insurance-agent/)[Customer Service Manager](/templates/role/customer-service-manager/)[Claims Adjuster](/templates/role/claims-adjuster/)     About this free form template
### Auto Insurance Claim Form: Fast, Professional Claims Processing

Filing an auto insurance claim shouldn't be stressful. This **Auto Insurance Claim Form** streamlines the entire claims process, allowing policyholders to submit comprehensive accident details, upload damage photos, attach police reports, and provide witness information—all in one professional, mobile-friendly form.

#### Designed for Insurance Agencies, Brokers & Carriers

Whether you're an independent insurance agent, regional broker, or part of a larger carrier network, this form template helps you collect all the critical information needed to process auto claims quickly and accurately. No more back-and-forth emails requesting missing documents or clarification on accident details.

This template is ideal for:

 - **Insurance agencies** managing multiple carriers and clients
 - **Insurance brokers** needing standardized intake across policies
 - **Auto insurance carriers** seeking to digitize their claims process
 - **Fleet managers** handling commercial vehicle claims
 - **Claims adjusters** requiring complete documentation upfront

#### Everything You Need in One Comprehensive Form

The form captures every essential detail required for efficient claims processing:

**Policyholder & Vehicle Information** Start with the basics—policy number, contact details, and vehicle information including VIN, make, model, and year. This ensures claims are routed to the correct policy immediately.

**Accident Details & Circumstances** Collect the date, time, location, and a detailed description of how the accident occurred. Understanding the circumstances helps adjusters determine liability and coverage faster.

**Damage Assessment** Photo uploads let policyholders document vehicle damage from multiple angles right from their smartphone at the accident scene. Visual evidence accelerates the assessment process and reduces disputes.

**Police Report Documentation** A dedicated file upload field for official police reports ensures this critical document is attached from the start, preventing delays in processing.

**Witness Information** Capture contact details and statements from witnesses, which can be crucial for liability determination and claim verification.

**Other Party Details** Collect insurance information, contact details, and vehicle information for all other parties involved in the accident.

**Injury Reporting** Document any injuries sustained, including whether medical attention was required, keeping claims complete and compliant.

#### Mobile-Optimized for On-the-Spot Reporting

Accidents happen anywhere, anytime. This form is fully responsive and optimized for mobile devices, so policyholders can file claims immediately from the accident scene while details are fresh and photos can be taken in real-time. The cleaner the documentation, the faster the claim can be processed.

#### Seamless Integration with Your Claims Workflow

Paperform makes it easy to connect your claim submissions directly into your existing systems. Send claim details instantly to your CRM, claims management software, or internal databases. Use integrations with Google Sheets, Airtable, or send webhooks to your custom claims platform.

With **Stepper** (stepper.io), Paperform's AI-native workflow automation companion, you can take claims processing even further:

 - Automatically route claims to the appropriate adjuster based on damage severity or location
 - Trigger email notifications to adjusters, supervisors, and claimants at key stages
 - Create tasks in project management tools for inspection scheduling
 - Update claim status across multiple systems simultaneously
 - Generate initial claim reports and send them to stakeholders

#### Professional, Compliant, and Secure

Insurance requires trust and compliance. This form template is built on Paperform's **SOC 2 Type II compliant** infrastructure with enterprise-grade security features. Data is encrypted in transit and at rest, and you can configure data residency controls to meet regional compliance requirements.

Set up custom confirmation messages to reassure claimants that their submission was received and let them know what to expect next. Automated email confirmations can include claim reference numbers, next steps, and adjuster contact information.

#### Save Time, Reduce Errors, Improve Customer Experience

Traditional paper-based claims or scattered email submissions lead to incomplete information, lost documents, and frustrated customers. With this digital form:

 - **Reduce claim processing time** by collecting complete information upfront
 - **Minimize errors** with required fields and validation
 - **Improve customer satisfaction** with a simple, guided experience
 - **Decrease follow-up requests** by capturing everything in one submission
 - **Accelerate settlements** with comprehensive documentation from day one

#### Customization Made Simple

Every insurance agency has different requirements. Paperform's doc-style editor makes it easy to customize this template to match your specific needs. Add your branding, adjust questions, modify conditional logic, or incorporate your company's specific policy clauses—all without writing a single line of code.

Need to collect different information for comprehensive vs. collision claims? Use conditional logic to show or hide relevant sections based on claim type. Want to capture GPS coordinates automatically? Add location fields. The flexibility is built in.

#### Trusted by Insurance Professionals

Insurance agents and brokers across the industry trust Paperform to handle their most important client interactions. With 500,000+ teams worldwide using Paperform and 30,000+ professionally designed templates available, you're joining a community that values efficiency, professionalism, and great customer experience.

#### Get Started in Minutes

This Auto Insurance Claim Form template is ready to use right away. Simply customize it with your branding and policy-specific questions, share the link with your policyholders, embed it on your website, or include it in your mobile app. Claims will start flowing into your system immediately, complete with all the documentation you need.

Stop chasing down missing information and start processing claims faster. With Paperform's Auto Insurance Claim Form, you'll deliver the professional, efficient service your policyholders expect when they need it most.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Business Interruption Insurance Claim Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/business-interruption-insurance-claim-form.png)

### Business Interruption Insurance Claim Form

A comprehensive business interruption insurance claim form with automated revenue loss calculations, detailed operating expense tracking, and restoration timeline planning for businesses affected by covered events.](/templates/business-interruption-insurance-claim-form/)
[![Money and Securities Insurance Claim Form for Cash Handlers](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/money-and-securities-insurance-claim-form-for-cash-handlers.png)

### Money and Securities Insurance Claim Form for Cash Handlers

A comprehensive insurance claim form designed for cash handling businesses to report losses of money and securities, including detailed loss information, reconciliation records, armored transport receipts, and security evidence.](/templates/money-and-securities-insurance-claim-form-for-cash-handlers/)
[![Accounts Receivable Insurance Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/accounts-receivable-insurance-application.png)

### Accounts Receivable Insurance Application

A comprehensive application form for accounts receivable insurance coverage, including customer concentration analysis, credit policies, aging reports, and collection procedures.](/templates/accounts-receivable-insurance-application/)
[![Business Auto Physical Damage Claim Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/business-auto-physical-damage-claim-form.png)

### Business Auto Physical Damage Claim Form

Report business vehicle damage and request claim processing with comprehensive accident details, vehicle condition assessment, repair estimates, and rental reimbursement options.](/templates/business-auto-physical-damage-claim-form/)
[![Car Rental Damage Waiver Claim Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/car-rental-damage-waiver-claim-form.png)

### Car Rental Damage Waiver Claim Form

Submit damage waiver claims for rental vehicles with incident details, photos, repair documentation, and waiver verification for efficient claim processing and settlement.](/templates/car-rental-damage-waiver-claim-form/)
[![Czech Business Interruption Insurance Claim Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/czech-business-interruption-insurance-claim-form.png)

### Czech Business Interruption Insurance Claim Form

A comprehensive insurance claim form for Czech businesses to report business interruption losses, calculate damages in CZK, and submit required documentation with IČO and DIČ validation.](/templates/czech-business-interruption-insurance-claim-form/)
[![Dealer Open Lot Insurance Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/dealer-open-lot-insurance-application.png)

### Dealer Open Lot Insurance Application

A comprehensive insurance application form for auto dealerships seeking open lot coverage, including inventory details, security measures, test drive policies, and loss history.](/templates/dealer-open-lot-insurance-application/)
[![Drone Insurance Application for Commercial Operators](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/drone-insurance-application-for-commercial-operators.png)

### Drone Insurance Application for Commercial Operators

Comprehensive insurance application for commercial drone operators covering FAA certification, flight experience, equipment details, and mission types.](/templates/drone-insurance-application-for-commercial-operators/)
[![Employment Practices Liability Insurance Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/employment-practices-liability-insurance-application.png)

### Employment Practices Liability Insurance Application

Comprehensive EPLI application form for businesses seeking employment practices liability coverage, including hiring practices, employee handbooks, training programs, and claims history.](/templates/employment-practices-liability-insurance-application/)
[![Event Cancellation Insurance Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/event-cancellation-insurance-application.png)

### Event Cancellation Insurance Application

A comprehensive application form for event cancellation insurance that captures event details, vendor agreements, financial projections, and contingency plans to assess coverage needs.](/templates/event-cancellation-insurance-application/)
[![Garage Liability Insurance Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/garage-liability-insurance-application.png)

### Garage Liability Insurance Application

Complete application form for auto repair shops seeking garage liability insurance coverage. Collect business details, service types, facility information, and safety protocols.](/templates/garage-liability-insurance-application/)
[![Health Insurance Enrollment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/health-insurance-enrollment-form.png)

### Health Insurance Enrollment Form

Complete health insurance enrollment application with medical history, dependent coverage options, plan selection, and HIPAA consent authorization.](/templates/health-insurance-enrollment-form/)