Download Initial Claims Report

Each insurance company may have their own form they want you to complete. However, to help you gather the information needed to get a claim started, download the below claims form in either PDF or Word format. This may also aid you in identifying the documentation you might need to during the claims process.

Insured*
Was anyone injured?*
Name*
Address*
What happened?*
What was the purpose of the flight?*
Date of Loss*
Time*
Location: Airport*
Other
Aircraft Involved: N#*
Make & Model*
Were any other aircraft involved?
N#
Make & Model
Was any property damaged?
What?
Who was the pilot?
Ratings
TT
RG
ME
MM
Other
What parts of your aircraft were damaged?
Do you have an estimate of the damages?
Insured Aircraft $
Other aircraft or property damage $
Who should the adjuster contact?
Phone Number:
Reported to The James A Gardner Company, Inc. by
Report taken by
Date
Time
Reported to at Insurance Company
Company use only--Cross check prior to reporting claim to Insurance Company
Insured
Policy Number
Policy Period to
Aircraft N#
Make & Model
Insured Value $
Deductibles
Liability Limits
Pilot Requirements: Ratings
TT
RG
ME
MM
Other

Download Initial Claim Report (PDF Format)

Download Initial Claim Report (Word Format)

Your policy should have your insurance company’s claims contact information. You can report your claim directly to them. Remember, the insurance companies usually do not include us in the claims process. However, as always, feel free to call any of our aviation insurance team to help you file the claim, understand the process or help you understand how they are interpreting their policy concerning your specific claim.

During normal business hours – 678-278-2100
After business hours, weekends and holidays – 678-983-4482 or
Email- Admin@jagardner.com

The James A Gardner Company