ICBC Insurance Claim

Please complete the following form for all ICBC related claims. We will contact you within 24 hours.

* indicates required field

First Name:*

Last Name:*

Email:*

Subject:*

Phone:

ICBC Claim Number:

ICBC Adjuster:

ICBC Adjuster Phone:

ICBC Adjuster Email:

Date of Accident:

Areas affected & treatments since accident:

Lawyer or Law Firm:

Lawyer Phone:

CAPTCHA Code:*