• Take picture of the accident scene and other party vehicle damages (very important)
• Policyholder information: Name of insured, address, phone number, e-mail and policy number
• Description of loss: Time and date of loss, location of incident, detailed description of damages
• Vehicle information (for traffic accidents only): Current location of vehicle, owner information, driver information, type of car (year, make and model), license plate number
• Authority notification: Please note all authorities notified (fire dept., police, etc.)
• Report information: Report author, title (if any), date
• Additional comments: Is there anything else you think we should know? (Injuries, witnesses, etc.)

Please send your claims information to:

KSN Insurance Agency

15713 Gale Ave 

Hacienda Heights, CA 91745

Phone: +1 626 9613909

Or use our online CLAIM FORM.