BAA USA Claim Form

Brotherhood Auto Aid USA
Claim Form

Section A - Policyholder Information

Section B - Vehicle Information

Section C - Comprehensive Claim

Section D - Collision Claim

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Section E - Claim amounts

TWO ESTIMATES ARE REQUIRED FOR LOSSES WITH THE FOLLOWING EXCEPTIONS: (1) the shop is owned by our brethren, or (2) the claim is less than $2,500.00, or (3) it is a glass claim. If it is impossible to obtain two estimates, please discuss the claim with the office personnel before the claim is filed. BAA will pay the lowest bid per rules and regulations. Checks will be issued to the policyholder unless other arrangements have been made. Non-Licensed drivers on public roads are not eligible for BAA Coverage.
Please list estimate amounts.
$
$
Please list salvage bids if total loss.
$
$
Please upload the complete estimates with this claim report to Brotherhood Auto Aid.
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Maximum upload size: 20MB
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