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AIM, Inc. dba Associated Insurance Managers
7025 Longley Lane, #60
Reno, NV 89523
 Toll Free: 877-447-1400
 Telephone: 775-827-1400
 Fax: 775-827-1501

AIM, Inc. dba Almanor Insurance Services
Lake Almanor/Northern, CA
 Toll Free: 877-447-1400
 Telephone: 530-259-2186
 Fax: 775-827-1501
 Auto Loss Notice 
Automobile Loss Notice

Contact Information
Your Full Name:
(as listed on policy now)
Your Email Address:
Daytime Telephone Number:
Description of Loss
Time & Date of Accident/Claim:
 Time AM PM
Date
Location of Accident:


Description of Accident:
Police Notified?:
 Yes No
Were you ticketed?:

Yes No

If you received a ticket, what was it for?:
Driver Name:
Any Additional Information Not Requested Above
Please Note: Submitting this form via the website does not constitute a "formal" claim. Please contact us or your insurance company to notify of a loss.

Enter the security code you see above. Code is NOT case sensitive. *

                    Member of the Reno Sparks Chamber of Commerce            

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