What documentation do I need to provide to the
Benefit Administrator?

The completed and signed Auto Rental Collision Damage Waiver
Claim Form: Your completed claim form must be postmarked
within one hundred (100) days† of the date of theft or damage,
even if all other required documentation is not yet available. If
your claim form is not postmarked within this time frame, your
claim may be denied.
• A copy of your receipt or monthly billing statement showing that
the entire vehicle rental was charged to and paid for with your
eligible card.
• A written confirmation from your employer that the rental was
primarily for business purposes.
• If the rental was for personal use, enclose a statement from your
insurance carrier showing the costs for which you are responsible
and any amounts that have been paid toward the claim. Or, if you
have no applicable insurance, please provide a notarized statement
to that effect.
• A copy of the declaration page from your primary automobile
insurance carrier if the rental was for personal use.
Also, enclose all the documents you received from the car rental
company. You should ask the rental company for these documents
immediately at the time of the theft or damage or when you return the
vehicle to the company:
• A copy of the Accident Report Form and claim document: this
should indicate the costs you are responsible for and any amounts
that have been paid toward the claim.
• A copy of the entire auto rental agreement(s)
• A copy of the repair estimate or itemized repair bill
• Two (2) photographs of the damaged vehicle, if available
• A police report, if obtainable
• Any other documentation deemed necessary, in the Benefit
Administrator’s sole discretion, to substantiate the claim.