What's New at Ritter

Auto Claim

We are sorry to hear about your loss. As claim service is one of our most important responsibilities, we will respond to you within 1 to 2 business days. If you have not received confirmation within 1 to 2 business days, please call our office during regular business hours at 608-837-2484.

If this is an emergency, please see our Emergency Contact Page.

Your Name:

First:	Middle Initial:	Last:

Address:

Street:

City:	State:	Zip:
,	WI

Phone Number:

( ) -

Email Address:

Accident Information

Driver Name:

Accident Date:

Accident Location:
(street,city,state)

Vehicle:

Make:	Model:	Year:

Describe Damage to Vehicle:

Is the vehicle drivable?

Yes
No

Other Driver/Vehicle Information

Name & Address:

Insurance Company
& Policy Number:

Vehicle:

Make:	Model:	Year:

Describe Damage to Vehicle:

Injuries, Authorities & Witnesses

Any injured drivers or passengers?

Yes
No

If yes please explain:

Authority on Scene:

Any tickets issued?
If yes please explain:

Any witnesses?
If yes please list:

Comments:

100 Wilburn Rd., Suite 103 • Sun Prairie, WI 53590 • 608.837.2484 • info@ritterinsurance.com