For auto liability claims, please use the auto claims form to submit your claim.

We understand that you have submitted a claim to Instacart for review. Choosing to file a claim directly with Instacart is voluntary. Instacart does not guarantee the outcome of its claim review or the turnaround time of claim resolution.

Pursuant to Instacart’s Independent Contractor Agreement, our independent contractors are responsible for obtaining all applicable insurance to perform their services, including automotive liability, workers' compensation, and any other necessary insurance, as well as licenses and permits usual or necessary for performing shopping and delivery services.

Further, pursuant to Instacart’s Terms of Service, customers agree that the services are provided by third-party contractors, and the customer assumes any risk arising out of their use of the services and/or the products requested.

As a condition of receiving payment for a claim, for claims processed in the United States we require a signed General Release, W-9 and a ACH form if direct deposit is the choice of payment. We do offer mailed checks in this region to a physical address. We do not mail checks to a P.O. Box address.

If the claim is processed in Canada we require a signed General Release, W-8 and an ACH form for all payments. We do not mail checks in this region.

Please allow up to 45 days from the signed date for payment handling and processing to complete. For tax record purposes, payments must be issued to the claimant. We are unable to pay third party vendors directly. Any missing/inaccurate information on the required forms will result in a delay of payment.

To help us evaluate your claim quickly and efficiently, please complete our Online Claim Form.

Next Steps: complete the following steps to submit your claim.

1. Select the applicable claim types based on the instruction above.
   • (Non-Auto) Injuries
   • (Non-Auto) Property Damage
   • Allergy Incident
   • Food Poisoning
   • Pest Infestation
2. Provide Verification of Relevant Parties: We need to confirm that the accident occurred in connection with an order through the Instacart platform.
3. Upload supporting documents and photographs.

Supporting Evidence: Items, documents, statements, or data in which it is evident the claim is valid

Claim types Injury Property damage Allergy incident Food poisoning Pest infestation

Requester type Customer claimant Third party claimant Insurance company/Authorized rep. Attorney/Law firm

Requester’s name (first, last, insurance company/legal representative/attorney)

Requester’s primary phone

Requester’s email address

Are you an Instacart account holder? Yes No

If yes; email related to the account

Estimated date of incident

Estimated time of incident

Location of incident

Same as mailing address? Yes No

Incident description - facts of loss (including the day/time and all events that took place) and description of damages

Upload medical bills or statements, police report, demand package, and photos of the injury Upload receipts, quotes/estimates, and photos of the damage Upload hospital records, medical bills or statements, insurance denial Upload hospital records, medical bills or statements, insurance denial Upload pest infestation inspection report, invoice of pest elimination expense
Upload screenshot of the order related to the incident (optional)

By submitting this form I understand that Instacart will review all documentation in support of this claim. I certify that all of the foregoing information entered is true and correct.

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