Claims

Submit a Claim

This forms is for our insured members only. If you wish to file a claim against one of our insured members, please submit your claim in writing directly to the county, city or other special purpose district. If you need further instructions on filing a claim, please visit the State of Idaho's website (www3.state.id.us) for Idaho Code Statutes.



Member Claim Submission

1st Report of Damage to Your ICRMP Insured Property or Vehicle

Your Name:    Your Affiliation:

Your Phone:    Your E-Mail:

Member Name:    Address:



Contact Person:    Contact's Affiliation:

Contact's Phone:    Contact's E-mail:

Incident Date:    Department Involved:

Details of Claim:

Description of Property Damaged & Location:

Make, Model & VIN # of Vehicle or Equipment Damaged:


Upload any additional information: