Claims Direct Access
8722 S. Harrison St. Sandy, UT 84070
P.O. Box 4439 Sandy, UT 84091
877-585-2849 • Fax 877-452-6909
After Hours Claim Reporting: 877-243-8182
CDA@primeis.com
INCIDENT/ACCIDENT
REPORTING FORM
General Information
Name of Insured: Island Wheels LLC
Contact Name: Greg Lewis & Anna Stevens
Insured’s Address: 125 Nichols St.
City: Friday Harbor State: WA Zip: 98250
Phone number: (360) 378-5244 Best time to contact: Afternoon
Policy Number: SC22062754 Effective Date of Policy: June 25, 2022
Sun May 19, 2024