9255 Corbin Avenue
Suite 200
NORTHRIDGE CA 91324-2401
(800)
743-2524 
818-782-5887 Fax:
818-734-7847
SIU Referral –Auto Theft Indicators
From ___________________________ Company: ____________________________ Date: _______________
Insured: _________________________ Loss Date: ___________________________ Policy No: __________
Claim No: _______________________________________ Other:___________________________________
Auto purchased for cash. 
Auto purchased with no lien holder
Loss occurred within two months of policy inception
Auto policy for comprehensive and collision only
No evidence of prior insurance.
Auto never seen by agent.
Insured has temporary, or out of area, identification
Insured uses a P.O. Box, mail drop, hotel or motel address
Telephone number for insured is an answering service or voice mail
Auto purchased from an unknown party.
Auto was rebuilt, restored, gray market, salvage or previously reported stolen.
Insured has prior theft claims.
Insured had payment difficulties prior to the loss
No evidence of forcible entry or damage to ignition
NICB reports VIN edited or does not decode.
Comments _____________________________________________________________________________________________________
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Each indicator checked is important. If three or more are checked there is a potential for a suspected fraudulent claim and the file should be referred to your SIU, FIMAT.
No single indicator, or combination of indicators, makes a claim fraudulent. It only indicates that a file deserves a more intense investigation by your SIU, FIMAT.
Last updated September 26, 2003