CLAIMS FORMS

Find claims forms for all motorsports-related policies.

Motorsports Insurance Claim Forms

This is the page you never planned on visiting, but it’s here for good reason: Things happen! But don’t worry, we’ve made the claims process easy on you.

Whether you have an HPDE or an off-track policy, and whether you’ve just experienced an accident or a theft, we’re here for you no matter the cause.

Please complete the forms below so we can work together to resolve this as quickly as possible.

Submit a Claim Form

"*" indicates required fields

Step 1 of 4

25%

This field is for validation purposes and should be left unchanged.

Personal Information

Are you a track owner, event organizer, or race team?*

Yes

Please contact us directly to start your claims process.
Email:
Phone: (888) 234-1384

First Name*

Last Name*

Telephone*

Email*

Claim Type*

HPDE, Track Day, or Time Trial

Off-Track

Incident Information

Date of Loss*

MM slash DD slash YYYY

Approximate Time of Loss*

Hours

Minutes

AM/PM

Policy Number*

Incident Location / Address*

Describe the Details of the Loss*

Consent*

I agree to the privacy policy and statement below.

The information you enter in the message box above is not secured in transit. Please do not enter information that would be considered sensitive, confidential, or private such as social security number or other personal identification. EPIC will not be liable for any loss or damage including, indirect or consequential losses or damages, arising out of, or in connection with, information submitted through this website. Insurance coverage cannot be bound or altered via submission of this online form.

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Incident Information

Date of Incident*

MM slash DD slash YYYY

Time of Incident*

Hours

Minutes

AM/PM

Certificate Number*

Event Organizer or Host*

Track Where Loss Occurred*

Corner Number Where Incident Occurred (If Applicable)

Describe the Details of the Incident (what happened, why, and how)*

Additional Information

The information below will not affect your claim. These details will allow us to improve our program and help minimize losses for yourself and other motorsports participants in the future.

Driver Experience Level*

Was an Instructor in the Vehicle with You?*

Yes

Did You Have an Instructor Earlier in the Event?*

Yes

Did You Have a Non-instructor Passenger at the Time of the Incident?*

Yes

Were You Participating in a Time Trial Session at the Time of the Incident?*

Yes

What Were the Track Conditions?*

Was Traction Control Turned On?*

Yes

Was Stability Control Turned On?*

Yes

What Type of Tires Were on the Car?*

What Kind of Brake Pads Were on the Car?*

Primary Cause of the Incident:*

Too Much Entry Speed

Missed Apex

Understeer / Oversteer / Loss of Traction

Mechanical Failure

Wet Track

Fluid / Debris / Spun Car on Track

Did You Go Off Track?*

Yes

Off Track Details*

Before the Apex

After the Apex

Did You Drop 2 or 4 Wheels Off the Outside of the Corner Exit?*

Yes

When Was Your Incident?*

During the First Session of the Day

Last Session of the Day

Neither

Did You Make Contact With a Wall or Barrier?*

Yes

Contact Details*

Inside of the Turn

Outside of the Turn

Were Any Other Vehicles Involved?*

Yes

Did You Sustain Any Injuries Requiring a Visit to the Hospital or With Your Doctor?*

Yes

Consent*

I agree to the privacy policy and statement below.

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Contact EPIC

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Phone

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Prefer to Contact Us Directly?

Yes

Email:
Phone: (888) 234-1384

First Name*

Last Name*

Email Address*

Phone Number*

Company Name*

Reason for Contact*

Comments

Consent*

I agree to the privacy policy and statement below.

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