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We want you to know that we are very sorry to hear you were in an accident. The most important issue to us is your safety and well-being. You can log into your account to notify us of this claim or simply use the form below. If you have any questions, please feel free to contact our claims department at: 908-224-9662.

Note: You must be a Named Insured, Covered Driver, or Authorized representative who is insured by LAP to use this form. If you are, but were involved in an accident with one of our insured, and would like to report a claim, please call our claims department at 908-224- 9661 and speak with one of our representatives.

Accident Injuries

Insured Information

Let us know a little about who you are and how to get in contact

Insured Vehicle

Please tell us about the vehicle.

Driver Information

Let us know who was driver insured vehicle.

Accident Information

Let us know a little about it
Using chart below. Where is car damaged as a result of this accident?

Grapefruit slice atop a pile of other slices

Other Driver & Vehicle Information

Please include what you know about the other driver and vehicle, if your accident involved another car.
Notes: Last, please provide an explanation of the accident including but not limited to name(s) of streets, direction vehicles were traveling, weather conditions, speed limits, along with any other information you would like to share. Please include the name(s) and contact information for any other drivers or witnesses whose information you collected but haven't already provided.