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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
 Business Loss Notice 
Business 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:

Type of Accident/Claim:

Property
Liability
Automobile
Workers Comp
Other:

Description of Loss:
Name(s) of Injured Parties:
Vehicle Description:
(applicable to Auto Claims Only)
Driver Name:
(applicable to Auto Claims Only)
Any Additional Information Not Requested Above
Please Note: Insurance coverage cannot be bound without a written binder from our office.

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                    Member of the Reno Sparks Chamber of Commerce            

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