If you are a member of the public, please use the below form to submit your claim to InterResolve.

Shortly after we receive your form, one of our trained mediators will contact you to discuss your accident and your injuries. Alternatively, you can contact us to discuss your claim over the phone.

Please note: This form is for use by claimant’s only. Insurers and referral sources should log in and submit their claim through the InterResolve portal.