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How do I fill this out?

To fill out the Car Travel Interruption Protection Reimbursement Form, gather all necessary details about the incident and your expenses. Ensure you have your membership number and original receipts. Follow the steps provided in the form to complete and submit it.

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How to fill out the Car Travel Interruption Protection Reimbursement Form?

  1. 1

    Gather all necessary details about the incident and expenses.

  2. 2

    Enter your membership number and personal information.

  3. 3

    Describe the type and details of the loss.

  4. 4

    List all incurred expenses with supporting receipts.

  5. 5

    Sign and submit the form along with all required documents.

Who needs the Car Travel Interruption Protection Reimbursement Form?

  1. 1

    AAA members who experienced car breakdowns while traveling.

  2. 2

    AAA members whose vehicles were stolen during a trip.

  3. 3

    AAA members involved in an accident far from home.

  4. 4

    AAA members who incurred unexpected travel expenses due to car issues.

  5. 5

    AAA members seeking reimbursement for covered expenses.

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  1. 1

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    Use the PDF editor to make necessary changes.

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    Save the edited version of your form.

  5. 5

    Review and finalize your edits before submission.

What are the instructions for submitting this form?

Submit the form along with original itemized receipts and proof of loss within 60 days of the incident. Email the completed form to Cartravelinterruptionclaims@acg.aaa.com or mail it to AAA Car Travel Interruption, One Auto Club Drive, Dearborn, MI 48126. Ensure all documents are submitted within the specified time frame to avoid delays.

What are the important dates for this form in 2024 and 2025?

The form must be submitted within 60 days of the incident, and all expenses must be incurred within 72 hours of the loss.

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What is the purpose of this form?

The purpose of the Car Travel Interruption Protection Reimbursement Form is to assist AAA members in claiming reimbursements for unexpected expenses incurred during car travel interruptions. This may include costs related to car rentals, lodging, meals, and transportation back home or to the intended destination. By submitting this form with the required documentation, members can receive financial relief and support from AAA for covered events that disrupt their travel plans.

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Tell me about this form and its components and fields line-by-line.

This form consists of various fields to capture necessary information regarding the travel interruption and expenses incurred. The fields are designed to collect personal information, details about the incident, and expenses incurred.
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  • 1. Membership #: Enter the membership number of the AAA member, which is a 16-digit number.
  • 2. Member's Name: Provide the full name of the member.
  • 3. Address: Enter the member's residence address.
  • 4. City: Enter the name of the city where the member resides.
  • 5. Email Address: Provide a valid email address for communication.
  • 6. Member Type: Select the type of AAA membership: Classic, Plus, or Premier.
  • 7. State: Enter the state of residence.
  • 8. ZIP Code: Provide the ZIP code of the residence.
  • 9. Daytime Phone #: Enter a contact phone number available during the day.
  • 10. Type of Loss: Select the type of loss: Accident, Theft, Vandalism, or Mechanical Breakdown.
  • 11. Date of Loss: Enter the date when the loss occurred.
  • 12. Time: Indicate the time of the incident, specifying AM or PM.
  • 13. Was Car Drivable?: Specify if the car was drivable after the incident.
  • 14. Location of Accident/Theft/Vandalism/Mechanical Breakdown: Provide the address, city, and state where the incident occurred.
  • 15. Describe Accident/Theft/Loss or Mechanical Breakdown: Give a detailed description of the incident.
  • 16. Car Make: Specify the make of the car involved.
  • 17. Car Model: Specify the model of the car involved.
  • 18. En route from: Include the address, city, and state from which the journey started.
  • 19. Planned stops: List all planned stops on the route.
  • 20. On the way to: Specify the intended destination at the time of the loss.
  • 21. When loss occurred, miles from member's home: Indicate the number of miles from the member's home when the loss occurred.
  • 22. Driver's Name: Enter the name of the person driving the vehicle.
  • 23. If theft, who last had possession of car: Specify who last had possession of the car before the theft.
  • 24. Occupants of Car: Provide the names of all occupants in the car and their relationship to the member.
  • 25. Car Year: Specify the year of the car.
  • 26. Miles from next destination: Indicate the number of miles from the next destination during the incident.
  • 27. Expenses: List all incurred expenses with corresponding dates and amounts.
  • 28. Replacement car rental: Indicate expenses for rental vehicles.
  • 29. Lodging: List expenses for lodging.
  • 30. Meals: List expenses for meals.
  • 31. Commercial transportation: List expenses for commercial transportation.
  • 32. Total amount of incurred expenses: Provide the total amount of all incurred expenses.
  • 33. Member's Signature: The member must sign the form to validate the reimbursement request.
  • 34. Date: Enter the date of the form submission.

What happens if I fail to submit this form?

If you fail to submit the form and required documents within the specified time frame, your claim for reimbursement will not be processed. This could result in a loss of coverage for eligible expenses.

  • Missed Reimbursement: You will not receive financial compensation for the incurred expenses.
  • Delayed Processing: Failure to submit within the timeline can cause delays in processing your claim.

How do I know when to use this form?

Use this form when you experience a car breakdown, accident, theft, or vandalism while traveling over 100 miles from your home, resulting in additional expenses.
fields
  • 1. Car Breakdown: When your car becomes undrivable due to mechanical issues.
  • 2. Accident: If you are involved in a car accident during your trip.
  • 3. Theft: When your vehicle is stolen while traveling.
  • 4. Vandalism: In case your car is vandalized and rendered unusable.
  • 5. Unexpected Expenses: When you incur additional costs for lodging, meals, or transportation.

Frequently Asked Question

How do I fill out the Car Travel Interruption Protection Reimbursement Form?

Gather all necessary details, complete the form with accurate information, and submit it along with original receipts.

Can I edit the form on PrintFriendly?

Yes, you can easily edit the form using PrintFriendly's PDF editor to ensure all fields are accurate.

How do I sign the PDF form on PrintFriendly?

Use PrintFriendly's digital signature feature to add your legally binding signature directly to the form.

What supported expenses can I claim?

You can claim expenses such as car rentals, lodging, meals, and commercial transportation incurred due to the interruption.

What should I include with my submission?

Include the completed form, proof of loss, and all original itemized receipts for reimbursement.

Is there a deadline to submit the form?

Yes, you must submit the form within 60 days of the incident.

Can I download the edited form?

Yes, after editing your form on PrintFriendly, you can download the finalized version for submission.

How do I share the completed form?

Use PrintFriendly's sharing options to email the form or share a link directly with the concerned parties.

What if I need to make additional edits after downloading?

You can re-upload the PDF to PrintFriendly and make further edits as needed before submitting.

Are there any expenses that are not covered?

Yes, expenses such as gas, groceries, and gratuities over 20% are not covered.

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