Claim Make a Claim Personal Injury Claim Form TCPA: By submitting this form, You agree to the Terms and Conditions and Privacy Policy that settlewithus its Partners and /or a licensed insurance agent employed with settlewithus, May contact you regarding Motor Vehicle accidents by phone or email. You expressly consent to recieve phone calls (including autodialed and /or pre-recorded/artificial voice calls) and email using automated technology at the phone number and email address you provided, even if it is a wireless number, regardless of whether you are on any Federal or state DNC ("Do Not Call") and /or DNE ("Do Not Email") list or registry. In addition, you understand and acknowledge that you are over 18 years of age and your consent is not required as a condition of purchase. Submit