FILE A CLAIM

Please take note that our company thoroughly investigates all damage claims. However, we will only consider claims that result from our negligence or misconduct based on the information provided by the claimant. This form provides essential information for your review, as well as the necessary instructions that you need to follow to ensure that your claim is processed correctly. Please be informed that if we do not receive all the requested information within 60 days of submission date of this form, we will close your claim due to lack of response.

As per the contract between our company and the customer, we are only responsible for damage to property or injury that occurs during the performance of the work required under the contract. This responsibility is only applicable if the damage resulted from any act, omission, neglect, or misconduct by our company. We also have the right to request information to ensure that the damage for which compensation is being sought occurred as a result of our act, omission, neglect, or misconduct in our manner or method of executing the work required.

Please be informed that our company has no responsibility for damage claims that arise due to normal road hazards. We are also not responsible for damages due to pre-existing road conditions, such as potholes, or damage to after-market low profile tires and larger 18″ – 26″ oversized rims, as they are more prone to damage and flats from hitting potholes, curbs, and normal variations in pavement surfaces because there is less tire to absorb the impact before the rim(s) is damaged.

The most efficient way to receive compensation for claimed damages is to refer this claim to your insurance carrier. Your insurance carrier can settle any claim and then subrogate the cost to responsible parties who may be identified from an investigation by your insurance carrier.

You may expedite the submission and consideration of your claim by accessing the online form below. You may upload or attach digital color photos, required claim documents (see list below), and the completed Claims Report using the online form or email them directly to claims@crjackson.com.

If you do not have access to a computer or email, you can mail the required documents and photographs to C.R. Jackson, Inc., ATTN: Claims Department, PO BOX 8023, Columbia, SC 29202.

Please be informed that all requested information MUST be submitted before your claim can be processed.

Required Claim Documents:
If the alleged damage is to a MOTOR VEHICLE, please send the following information:

1. Copy of Proof of Ownership (E.g. Registration);
2. Color photographs of area damaged on vehicle;
3. Color photographs of all four (4) sides of the vehicle, including the tag area;
4. Color photographs of the road location the alleged incident occurred;
5. Map indicating exact location where the alleged incident occurred (please indicate which lane and direction of travel with distance to nearest intersection or mile marker);
6. Copy of two (2) estimates for repair OR paid repair invoices;
7. Color photographs of all damaged parts replaced; and
8. Copy of police or incident report from local or area law enforcement

If the alleged damage is to a BUILDING OR PROPERTY, please send the following information:

1. Copy of Proof of Ownership (E.g. deed or property tax record);
2. Color photographs of area damaged;
3. Copy of property plat or survey map indicating exact location where alleged damage occurred; and
4. Copy of two (2) estimate for repair; and
5. If the alleged damage is due to vibration or ground movement, please send the following:
6. Structural analysis of the building by a certified professional structural engineer; and
7. Seismic analysis of the source of the vibration and/or ground movement.
8. Please be advised that any person who knowingly makes any claim for the proceeds of any insurance policy with the intent to defraud or deceive any insurer with any false, incomplete, or misleading information is guilty of insurance fraud which is a felony offense punishable by up to a $10,000.00 fine and ten (10) years imprisonment or both.

Claims Report
All claims must be submitted in writing or via the form below. We will not consider any verbal claims. No claim will be considered if this form is not completed with the requested information. This form is to be completed by the person reporting the property damage.