Reporting an Incident

To report an incident for your equipment leased or rented through TEN, please complete the form below. Alternatively, you may contact our Claims Department directly at [email protected].

Please Note: Submitting this form does not constitute filing an insurance claim. If you need to file a claim with your insurance provider, please contact them directly.

Click here for LDW Claims
  • Save and resume application link at bottom of form

Your Information

Name

Equipment Information

Incident Location

Lessee/Customer Company Name

Contact Name

Insurance Information

Was the trailer Lost, Stolen or Damaged?
Adjuster's Name

Driver Information

Driver's Name

Location Information

Current Location of Equipment
Was the equipment towed to the current location?
Is the trailer secure within the lessee's (your) control?

Additional Information

Were there injuries or fatalities?
Were any other vehicles involved in this incident?
Is the equipment loaded?
Did the equipment contain hazardous materials at the time of the incident?
Does the equipment require a tow?
Is there a police report for this incident?
Click or drag a file to this area to upload.
Save and Resume Later

If this is a LDW claim, you must submit here.