Where is vehicle being kept?
Give address of garage, house, etc where vehicle is located
List names, relationship, date of birth, and any injuries
Include names and extent of injuries. Include hospital name if transported.
Details of incident
Include description of damage to your vehicle
Other vehicle information
year/make/model of other vehicle(s)
Name of driver(s) with phone number
Insurance carrier(s) and policy number
Damage to other vehicle(s)
Injuries to occupants of other vehicle(s)
Include department name, officer name, badge number, and report number
Describe property damage
Include extent and location (i.e. room name, area on property). Include description of injuries, if any.
Like most website operators, Empire Insurance Agency collects non-personally-identifying information of the sort that web browsers and servers typically make available, such as the browser type, language preference, referring site, and the date and time of each visitor request. Empire Insurance Agency’s purpose in collecting non-personally identifying information is to better understand how Empire Insurance Agency’s visitors use its website. From time to time, Empire Insurance Agency may release non-personally-identifying information in the aggregate, e.g., by publishing a report on trends in the usage of its website.
Empire Insurance Agency also collects potentially personally-identifying information like Internet Protocol (IP) addresses. Empire Insurance Agency does not use such information to identify its visitors, however, and does not disclose such information, other than under the same circumstances that it uses and discloses personally-identifying information, as described below.
Gathering of Personally-Identifying Information
Certain visitors to Empire Insurance Agency’s websites choose to interact with Empire Insurance Agency in ways that require Empire Insurance Agency to gather personally-identifying information. The amount and type of information that Empire Insurance Agency gathers depends on the nature of the interaction. For example, we ask visitors who sign up for an account at this website to provide a username and email address. Those who engage in transactions with Empire Insurance Agency are asked to provide additional information, including as necessary the personal and financial information required to process those transactions. In each case, Empire Insurance Agency collects such information only insofar as is necessary or appropriate to fulfill the purpose of the visitor’s interaction with Empire Insurance Agency Empire Insurance Agency does not disclose personally-identifying information other than as described below. And visitors can always refuse to supply personally-identifying information, with the caveat that it may prevent them from engaging in certain website-related activities.
Use of Personal Data
Empire Insurance Agency may collect aggregated statistics about the behavior of visitors to its websites. For instance, Empire Insurance Agency may monitor the most popular website account on this site. Empire Insurance Agency may display this information publicly or provide it to others. Empire Insurance Agency does not disclose personally-identifying information other than as described below.
Protection of Certain Personally-Identifying Information
Empire Insurance Agency discloses potentially personally-identifying and personally-identifying information only to those of its employees, contractors and affiliated organizations that (i) need to know that information in order to process it on Empire Insurance Agency’s behalf or to provide services available at Empire Insurance Agency’s websites, and (ii) that have agreed not to disclose it to others. Some of those employees, contractors and affiliated organizations may be located outside of your home country; by using Empire Insurance Agency’s websites, you consent to the transfer of such information to them. Empire Insurance Agency will not rent or sell potentially personally-identifying and personally-identifying information to anyone. Other than to its employees, contractors and affiliated organizations, as described above, Empire Insurance Agency discloses potentially personally-identifying and personally-identifying information only when required to do so by law, or when Empire Insurance Agency believes in good faith that disclosure is reasonably necessary to protect the property or rights of Empire Insurance Agency, third parties or the public at large. If you are a registered user of an Empire Insurance Agency website and have supplied your email address, Empire Insurance Agency may occasionally send you an email to tell you about new features, solicit your feedback, or just keep you up to date with what’s going on with Empire Insurance Agency and our products. We expect to keep this type of email to a minimum. If you send us a request (for example via a support email or via one of our feedback mechanisms), we reserve the right to publish it in order to help us clarify or respond to your request or to help us support other users. Empire Insurance Agency takes all measures reasonably necessary to protect against the unauthorized access, use, alteration or destruction of potentially personally-identifying and personally-identifying information.