Account Request

 
The CLEMIS Crash system provides accounts to Insurance Companies who need to access accident reports that are created and stored in the CLEMIS Crash system. You will be responsible for payment on all reports that you view/download. When you are ready to request a CLEMIS Crash account, simply fill out the form below.

  • Invoiced Accounts will be deactivated if product usage falls below an average of $13.00 during any consecutive three-month period. The Credit Card option is available to all users who do not meet the account minimum usage requirement.
  • Please be advised that payment in full is due within 30 days of the Statement Date. A 7% finance fee (per annum) is charged to delinquent accounts. In order to expedite receipt of your payment, be sure to include on your check the company name you are paying.
    Make ONE check payable to: COUNTY OF OAKLAND
    MAIL TO: OAKLAND COUNTY
      TREASURERS-CASH ACCOUNTING BLDG 12 E
      1200 N TELEGRAPH RD.
      PONTIAC, MI 48341-0479
    Accounts delinquent 90 days will be deactivated. If you wish to reactivate your account, you will be required to pay your account in full and pay a $50 Reactivation Fee before access is restored. Note: You may not open a new account to bypass or avoid the reactivation process and fees. This includes opening an account under a different company name and/or contact person. Accounts with this status will be deactivated immediately and will require all applicable accounts to be paid in full before access is restored. Accounts with two or more Returned Checks (e.g., Non-Sufficient Funds (NSF) or Stop Payment) will require a secured form of payment for monthly invoices.
  • Enter all the details below and click the 'Submit' button at the bottom of the page to place your request.
  • Your request will be reviewed within 5 business days. Upon acceptance, your account administrator will be able to set up users within your organization who will download the reports. Please note, you must provide a valid e-mail address to receive the company administrator account. Your user name and password will be sent to the e-mail address provided in your application.
  • Please call the CLEMIS help line at 248-858-8812 for any questions.
 
Note: = Required field.
Insurance Company Account Request:
Company Name:  
Address Line 1:  
Address Line 2:  
City:  
State:   
Zip Code:  
Phone No.:  
Contact Person:  
Contact Email:  
 
 
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