If Someone Is~ Injured -
NAME.

ADDRESS.

NAME

ADDRESS.

 

Nature of Injuries

 

Where was Injured taken
If Property of Another is Damaged

 

 

Description of Damage

 

Estimated cost of Repair

 

Where can Damaged Property be found
Names and Addresses of Witnesses

 

 

 

 

 

 

Signature of Person making this Report

 

 

 

Services to Which the Holder of this Certificate is Entitled
Are:
I, CLAIM SERVICE. Report every accident to the nearest Company
_ representative. When necessary he will telegraph the Company for
immediate instructions and he will advise and assist you as far as
possible in safeguarding your interests.

It. BOND SERVICE. If your car or other property should be attached
as a result of a claim covered by your policy, any Company representa-
tive will arrange to secure, without cost to you, a release of attach-
ment bond up to the limits of your policy.

II. TOURING SERVICE. Company representatives will gladly comply
with any reasonable request concerning road conditions, routes, hotels,
doctors, garages, hospitals, ete.

Before Taking An Extended Trip

consult the agent or broker through whom you secure your policy. He will

furnish you with a list of the Company’s agents and claim representatives

in cities on the route you propose to travel.
In the Event of An Accident

1. Stop at once. If anyone is injured secure first aid by calling a doctor

or hospital.

2. Get the information required and fill out one of the emergency accident

reports attached to this certificate. Names of witnesses are most important.

3. Report the accident to our nearest Agent or Claim Office. If you cannot

locate a Company representative wire the Phenix Indemnity Company,

55 Fifth Avenue, New York City.

4. Do not admit liability. Make no statement concerning the accident to

anyone except police or an identified Company representative.
Form 2534