Claims

Including repair estimates, invoices, proof of purchases, or other supporting documents may be helpful in presenting your claim.

You will be asked to upload digital files or use your device's camera to take pictures.

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Tell us about you

First name

*Required

Last name

*Required

Business name (optional)

Mailing address
*Required

Email address (optional)

*Invalid

Phone number

*Required *Invalid

Secondary phone number (optional)

*Invalid

Account number (optional)

*Invalid

Not an Avista customer

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Tell us about the incident

Claim type (optional)

Please fill in the claim type

Characters remaining: {{ 255 - (model.otherClaimType.length || 0) }}

Location of incident

*Required

{{model.mailingAddress.address}}

{{model.mailingAddress.address2}}

{{model.mailingAddress.city}}, {{model.mailingAddress.state}} {{model.mailingAddress.zip}}

Same as mailing address

Do you own or rent? (optional)

Property owner's name (optional)

Property owner's phone number (optional)

Property owner's email address (optional)

*Invalid

Date of incident

*Required *Invalid

If you don't know the exact date and time, please tell us when it was first noticed.

Service type (optional)

Description of incident

Characters remaining: {{ 2000 - (model.natureOfClaim.length || 0) }}

*Required Max 2000 characters

Were you injured? (optional)

Please describe your injury

Characters remaining: {{ 2000 - (model.injuryExplanation.length || 0) }}

Max 2000 characters

Other losses (lost wages, lost revenue, medical expenses, etc.) (optional)

Characters remaining: {{ 2000 - (model.otherLosses.length || 0) }}

Max 2000 characters

Witness information (optional)

Witnesses ({{model.witnessNameAndPhone.length}})

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Witness name (optional)

Witness phone number (optional)

Witness was Avista employee

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Do you want to itemize your claim?

Including an itemized list with cost may be helpful in presenting your claim.

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Itemize your claim

Add item

Edit item

Items ({{model.listOfDamages.length}})

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${{dama.itemAmount}}

+ Add another item

Item description

*Required

Make/Brand

*Required

Model: Name/Number/Size

*Required

Age

*Required

Amount claimed

*Required *Invalid

Nevermind

Food Spoilage: You may total "Food Items" with a sum of the amount claimed. There must be an attached itemized list specifying items and their costs (next page).

NOTE: Under Washington, Idaho and Oregon damages law you are entitled to reimbursement at fair market value or the cost to repair your damaged property, if there is negligence on the part of Avista. We use the replacement cost of the item and depreciate that amount to arrive at the fair market value. You may consider consulting with your insurance carrier.

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Do you want to add supporting documentation?

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Please provide documentation

Attach repair estimates, invoices, proof of purchase, or supporting documents.

{{item.file.name}} ({{ item.file.size/1024/1024 | number:2 }} MB)

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Max file size: 2 MB

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Supported file types:

Documents: doc, docx, xls, ppt, pptx, pdf, txt, rtf, html, htm

Images: bmp, gif, jpg, jpeg, png, tif, tiff

Audio/Video: wav, mp4, mov, mpeg, mpg

Compressed: zip

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Review and submit

Tell us about you

Edit

First name: {{model.firstName}}

Last name: {{model.lastName}}

Business name (optional): {{(model.businessName != '') ? model.businessName : 'N/A'}}

Mailing address:

{{model.mailingAddress.city}}, {{model.mailingAddress.state}} {{model.mailingAddress.zip}}

Email address (optional): {{model.email}}

Phone number: {{model.phoneNumber}}

Secondary phone number (optional): {{(model.phoneNumber2 != '') ? model.phoneNumber2 : 'N/A'}}

Claim Event Information

Edit

Claim type (optional): {{(model.claimType.text !== undefined && model.claimType.text != '') ? model.claimType.text : 'N/A'}}

Please fill in the claim type: {{(model.otherClaimType != undefined && model.otherClaimType != '') ? ((model.otherClaimType.length > 21) ? model.otherClaimType.substring(0,21)+'...' : model.otherClaimType) : 'N/A'}}

Location of incident:

{{model.mailingAddress.city}}, {{model.mailingAddress.state}} {{model.mailingAddress.zip}}

{{model.locationOfEvent.city}}, {{model.locationOfEvent.state}} {{model.locationOfEvent.zip}}

Same as mailing address:{{model.locationSameAsMailing === true ? ' Yes' : ' No'}}

Do you own or rent? (optional): {{(model.ownOrRentHome.text !== undefined && model.ownOrRentHome.text !== '') ? model.ownOrRentHome.text : 'N/A'}}

Property owner's name (optional): {{(model.landlordName !== '') ? model.landlordName : 'N/A'}}

Property owner's phone number (optional): {{(model.landlordPhone !== '') ? model.landlordPhone : 'N/A'}}

Property owner's email address (optional): {{(model.landlordEmail !== '') ? model.landlordEmail : 'N/A'}}

Incident date: {{model.eventDate | date: 'MM/dd/yyyy'}}

Incident time: {{model.eventDate | date: 'hh:mm a'}}

Service type (optional): {{(model.serviceType.text !== undefined && model.serviceType.text !== '') ? model.serviceType.text : 'N/A'}}

Description of incident: {{(model.natureOfClaim != undefined && model.natureOfClaim.length > 21) ? model.natureOfClaim.substring(0,21)+'...' : model.natureOfClaim}}

Were you injured? (optional): {{(model.wasInjured.text != undefined && model.wasInjured.text !== '') ? model.wasInjured.text : 'N/A'}}

Please describe your injury: {{(model.injuryExplanation != undefined && model.injuryExplanation != '') ? ((model.injuryExplanation.length > 21) ? model.injuryExplanation.substring(0,21)+'...' : model.injuryExplanation) : 'N/A'}}

Other losses: {{(model.otherLosses != undefined && model.otherLosses.length > 21) ? model.otherLosses.substring(0,21)+'...' : model.otherLosses }}

Other losses: N/A

Witnesses:
N/A {{wit.name}}
{{wit.phone}}
Avista Employee

{{wit.name}}
{{wit.phone}}

Claim Items

Edit

{{item.itemDescription}} ... ${{item.itemAmount}}

Total damages amount: ${{model.totalAmountClaimed}}

Documentation

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Claims process

By submitting this form, I understand Avista will review all documentation in support of this claim. All claims will be reviewed for liability. Submission of a claim does not guarantee compensation.

Please allow 10 business days for the Claims Department to contact you.

You may want to contact your own insurance company if you have a claim that requires immediate attention.

If you have any questions or wish to discuss your claim, you can call (800) 227-9187 or email claimsinquiry@avistacorp.com.

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We're sorry, something went wrong. Please try again or call us at (800) 227-9187.

Thank you

This information has been sent to our Claims Department and they will mail you a letter explaining the claims process. Please allow 10 business days for the Claims Department to contact you. If you have any questions or wish to discuss your claim, you can contact the Claims Department at (800) 227-9187.

Claim number: {{claimNumber}}